Individual provider · NPI-1

Dr. Gerald N Berman, M.D.

Internal Medicine · Waukesha, WI

NPI number1215909734
StatusActive
Last updated in NPPESMar 6, 2013

Details

NPI
1215909734
Entity type
Individual (NPI-1)
Name
Dr. Gerald N Berman
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 7, 2006
Last updated
Mar 6, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine19200WIYes

Practice location

1111 Delafield St
Suite 203
Waukesha, WI 53188-3417

Phone 262-542-9531 · Fax 262-542-6461

Mailing address

1111 Delafied St.
Suite 203
Waukesha, WI 53188

Phone 262-542-9531 · Fax 262-542-6461

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