CARL R BERGSTROM — OIG Excluded Provider (DELANO, CA, 1128b4)
CARL R BERGSTROM — OIG Excluded Provider (DELANO, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: CARL R BERGSTROM; Type: Individual; Provider category: MEDICAL PRACTICE, MD.
| Name | CARL R BERGSTROM |
|---|---|
| Type | Individual |
| Provider category | MEDICAL PRACTICE, MD |
| Specialty | FAMILY PRACTICE |
| NPI | 1407937139 |
| City | DELANO |
| State | CA |
| ZIP | 93216 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2010-05-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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