NPI 1679615769

Harlan Bergum, NBCHWC

Practitioner Health & Wellness Coach Tomah, WI

Practice location

Address: 500 E Veterans St, Tomah, WI 54660-3105
Phone: (608) 372-3971
Mailing address: 405 S Rusk Ave APT 1, Viroqua, WI 54665-2019

Registered specialties (3)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence A-3273815

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Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Health Educator

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1679615769
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2007
Record last updated: 17 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.