Individual
MS. MARY BERNAU-EIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2207 W WISCONSIN AVE, MILWAUKEE, WI 53233-1923
(414) 931-8181
(414) 931-0063
Mailing address
2958 S MABBETT AVE, MILWAUKEE, WI 53207-2525
(414) 481-9574
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
48907-030
WI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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