# GERALD N. BERMAN, M.D.,S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467781187
- **Authorized official:** GERALD NEIL BERMAN M.D. (PHYSICIAN)
- **Authorized official phone:** (262) 542-9531

## Contact information

- **Practice address:** 1111 DELAFIELD ST, SUITE 203, WAUKESHA, WI 53188-3417
- **Practice address phone:** (262) 542-9531
- **Practice address fax:** (262) 542-6461
- **Mailing address:** 1111 DELAFIELD ST, SUITE 203, WAUKESHA, WI 53188-3417
- **Mailing address phone:** (262) 542-9531
- **Mailing address fax:** (262) 542-6461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 19200 | WI | Yes |

## Other

- **Enumeration date:** 12/08/2009
- **Last updated:** 07/01/2010
