Individual
MARIANNE BERGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E WALL ST, EAGLE RIVER, WI 54521-9550
(715) 479-7430
Mailing address
PO BOX 2013, WOODRUFF, WI 54568-2013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10156
WI
Other
Enumeration date
08/21/2020
Last updated
09/04/2020
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