Individual
DR. BERTRAND D BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285
Mailing address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007806261F
HUMANA
—
05
—
1093766446
—
WI
05
—
39107200
—
WI
Enumeration date
05/12/2006
Last updated
10/24/2012
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