Individual
BERNADETTE DEMURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 N MAYFAIR RD, SUITE #305, WAUWATOSA, WI 53226-1309
(414) 257-0233
(414) 257-3588
Mailing address
2600 N MAYFAIR RD, SUITE #305, WAUWATOSA, WI 53226-1309
(414) 257-0233
(414) 257-3588
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25940
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31714700
—
WI
Enumeration date
07/13/2006
Last updated
07/08/2007
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