Bergeron, Edward Joseph

Bergeron, Edward Joseph is an individual health care provider with primary practice located at 1221 Sixth St Ste 202 , Traverse City MI 49684-2359. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Bergeron, Edward Joseph can be contacted via phone (231) 935-5730.

Contact Information

Primary practice address
1221 Sixth St Ste 202 Traverse City MI 49684-2359
Phone: (231) 935-5730
Fax: (231) 935-5736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301086049 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Colorado
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301086049 Michigan

Profile Details

NPI number 1477753952
LBN Legal business name Bergeron, Edward Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2007
Last updated Apr 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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