James Beres, M.D.
Radiology, Vascular & Interventional Radiology in Mequon, WI. Individual provider (NPI-1).
NPI number1265414809
StatusActive
Last updated in NPPESFeb 18, 2020
Details
- NPI
- 1265414809
- Entity type
- Individual (NPI-1)
- Name
- James Beres
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2005
- Certification date
- Feb 18, 2020
- Last updated
- Feb 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 23723 | 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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