Individual
CARY E BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W 3985 COUNTY ROAD NN, ELKHORN, WI 53121-3604
(262) 741-2380
(262) 741-2175
Mailing address
W 3985 COUNTY ROAD NN, ELKHORN, WI 53121-3604
(262) 741-2380
(262) 741-2175
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
47361
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04915267
BLUE CROSS BLUE SHIELD
IL
05
—
36047466
—
IL
Enumeration date
07/20/2006
Last updated
05/08/2019
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