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Individual

DR. JON BERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285
Mailing address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38683
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007000215A
HUMANA
05
1174574529
WI
Enumeration date
05/12/2006
Last updated
01/29/2013
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