Individual
MOLLIE J BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
512 S 28TH AVE, WAUSAU, WI 54401-4147
(715) 847-2021
(715) 847-2325
Mailing address
512 S 28TH AVE, WAUSAU, WI 54401-4147
(715) 847-2021
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2496023
WI
Other
Enumeration date
09/30/2009
Last updated
12/22/2022
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