Individual
JON D BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
(920) 738-6400
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
167960
WI
363L00000X
Nurse Practitioner
Primary
5402
WI
Other
Enumeration date
08/22/2013
Last updated
08/29/2018
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