Individual
BROOKE ELIZABETH BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(920) 490-9046
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5728-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195873
—
WI
Enumeration date
10/26/2021
Last updated
11/25/2024
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