Individual
ALEXANDRA BERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 SPRING ST, MOUNT PLEASANT, WI 53405
(262) 687-4011
Mailing address
3801 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-4011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-07-4298
OH
207R00000X
Internal Medicine Physician
Primary
56000
WI
208M00000X
Hospitalist Physician
0101280170
VA
208M00000X
Hospitalist Physician
56000
WI
208M00000X
Hospitalist Physician
56000-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074188
—
OH
Enumeration date
07/07/2005
Last updated
01/18/2024
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