Individual
JESSE LEE BERNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3819 E LUNHAM AVE, CUDAHY, WI 53110-1242
(414) 573-4716
Mailing address
3819 E LUNHAM AVE, CUDAHY, WI 53110-1242
(414) 573-4716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
178125
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
178125
WI
Other
Enumeration date
09/23/2021
Last updated
11/28/2023
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