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Individual

DR. NATHAN DAVID BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
11035 W FOREST HOME AVE, SUITE 108, HALES CORNERS, WI 53130-2541
(414) 529-3215
Mailing address
11035 WEST FOREST HOME AVENUE, SUITE 108, MILWAUKEE, WI 53130
(414) 529-3215

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
566156
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/15/2011
Last updated
10/27/2011
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