Individual
TAMERA BERGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2275 DEMING WAY, MIDDLETON, WI 53562-5527
(608) 417-8388
(608) 417-8389
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1284-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11886466
CAQH
—
05
—
42994600
—
WI
Enumeration date
04/18/2006
Last updated
12/23/2014
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