Individual
BRIANNA BERTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 S 90TH ST FL 2, WEST ALLIS, WI 53227-2455
(414) 328-8777
Mailing address
2424 S 90TH ST FL 2, WEST ALLIS, WI 53227-2455
(414) 328-8777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75252
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100172074
—
WI
Enumeration date
03/17/2019
Last updated
11/16/2022
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