Individual
MONICA BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 777-7700
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8122
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598509176
—
WI
Enumeration date
06/19/2024
Last updated
10/24/2024
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