# DR. ALISA MARIE BERGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619017043
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01084523A | IN | Yes |
| 208800000X | Urology Physician | 82525 | WI | — |
| 208800000X | Urology Physician | M5052 | TX | — |
| 208800000X | Urology Physician | MD-46471 | IA | — |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 192360901 | — | TX |