Individual
DR. AMANDA BORN BERNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
(715) 526-3461
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65840
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2014
Last updated
07/21/2022
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