Individual
THOMAS R BERENTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23622-020
WI
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
23622-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477593036
—
WI
Enumeration date
06/08/2006
Last updated
11/03/2020
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