Individual
REBECCA SHIRA BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8191
(414) 527-5069
Mailing address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8191
(414) 527-5069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56787
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184859316
—
WI
Enumeration date
05/18/2009
Last updated
07/03/2024
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