Individual
TIMOTHY PATRICK BERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8000
Mailing address
3300 99TH ST, PLEASANT PRAIRIE, WI 53158-4014
(262) 748-8535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/05/2025
Last updated
10/14/2025
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