Individual
DAVID EUGENE BERTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
29339020
WI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
29339020
WI
207NS0135X
Procedural Dermatology Physician
29339020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29339-020
STATE LICENSE
WI
05
—
32318400
—
WI
01
—
382000019
MEDICARE
WI
01
—
P00218264
RAILROAD MEDICARE
WI
Enumeration date
06/13/2006
Last updated
03/07/2023
Update your record
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