Individual
DR. JOHN C BERSCHBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125052989
IL
207XS0106X
Orthopaedic Hand Surgery Physician
60479-20
WI
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
60479
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01307815
RAILROAD MEDICARE
WI
Enumeration date
08/04/2008
Last updated
12/17/2021
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