Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Marie Bergendahl

Individual provider Pharmacist · NPI 1457733669

Ellen Marie Bergendahl is a Pharmacist in Baraboo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015

Practice location Address checks out

1700 Tuttle St
Baraboo, WI 53913-3319
Phone: (608) 355-3800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17922-40 (WI)

Record details

NPI number1457733669
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2015
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024
Mailing address1700 Tuttle St, Baraboo, WI 53913-3319

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