Individual
MR. JOSEPH M BERNHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 EXPO DR, MANITOWOC, WI 54220-9341
(920) 684-4429
(920) 684-6892
Mailing address
PO BOX 1900, MANITOWOC, WI 54221-1900
(920) 684-4429
(920) 684-6892
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38418000
—
WI
Enumeration date
09/14/2005
Last updated
08/22/2007
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