Kristin C Bergstrom, MD | |
1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | |
(805) 614-5690 | |
Not Available |
Full Name | Kristin C Bergstrom |
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Gender | Female |
Speciality | Pediatrics |
Location | 1992 Old Mission Dr Ste 140, Solvang, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679568711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 32101 (Minnesota) | Secondary |
208000000X | Pediatrics | G168185 (California) | Primary |
Entity Name | St Francis Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891954574 PECOS PAC ID: 8123937992 Enrollment ID: O20040429000995 |
Entity Name | St Francis Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1639162381 PECOS PAC ID: 8123937992 Enrollment ID: O20080303000129 |
Mailing Address | Practice Location Address |
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Kristin C Bergstrom, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Kristin C Bergstrom, MD 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 Ph: (805) 614-5690 |
Dr. Anthony John Howe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Alisal Rd, Suite 400, Solvang, CA 93463 Phone: 805-688-1565 Fax: 805-688-1120 | |
Dr. Michele Joyce Saunders, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Alisal Rd, Suite 400, Solvang, CA 93463 Phone: 805-688-1565 |