# DR. DONALD STUART BERRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063539625
- **Gender:** Man
- **Credential:** D.O., D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0006X | Clinical Pathology Physician | 77025-21 | WI | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 77025-21 | WI | Yes |
| 208D00000X | General Practice Physician | 77025-21 | WI | — |
| 251K00000X | Public Health or Welfare Agency | 77025-21 | WI | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 05/20/2024