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Licensee Information

Max Frederick Bergstrom - PA-C
0010-11420
Active
No
07/02/2021
03/10/2027

Active Supervisor

NameTypeStatusApprovedInactive
Bellingham, Dwight Nicolas, MD MD Active 05/07/2024
Boiwka, Alexander Vondra, MD MD Active 10/07/2025
Ellison, Bradley Scott, MD MD Active 10/07/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 4:07:42 PM

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