Debra Berridge, M.D.
Radiology, Diagnostic Radiology in Mequon, WI. Individual provider (NPI-1).
NPI number1194707968
StatusActive
Last updated in NPPESNov 17, 2023
Details
- NPI
- 1194707968
- Entity type
- Individual (NPI-1)
- Name
- Debra Berridge
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2005
- Certification date
- Nov 17, 2023
- Last updated
- Nov 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 30649 | WI | Yes |
Practice location
10945 N Port Washington Rd Ste 201Mequon, WI 53092-5078
Phone 414-434-0461
Mailing address
10945 N Port Washington Rd Ste 201Mequon, WI 53092-5078
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