Dr ELISA BERGQUIST is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.
LA PORTE CLINIC COMPANY LLC
500 LEGACY PLZ W
LA PORTE
IN
463505254
Tel: 2193260943
| Npi | 1922476878 |
| Pac Id | 6305154360 |
| Professional Enrollment Id | I20150924003077 |
| Last Name | BERGQUIST |
| First Name | ELISA |
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| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | LA PORTE CLINIC COMPANY LLC |
| Group Practice Pac Id | 0446558357 |
| Number Of Group Practice Members | 66 |
| Line 1 Street Address | 500 LEGACY PLZ W |
| Line 2 Street Address | |
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| City | LA PORTE |
| State | IN |
| Zip Code | 463505254 |
| Phone Number | 2193260943 |
| Hospital Affiliation Ccn 1 | 150006 |
| Hospital Affiliation Lbn 1 | LA PORTE HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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