Individual
DANIELLE KUSSEROW BERSABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 CEDAR LAKE RD STE R, BILOXI, MS 39532-2107
(228) 207-0260
Mailing address
2200 BERQUIST DR, INTERNAL MEDICINE CLINIC, LACKLAND AFB, TX 78233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26567
MS
Other
Enumeration date
05/31/2012
Last updated
12/19/2023
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