Individual
PATRICK THOMAS BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
228 S 18TH AVE, STURGEON BAY, WI 54235-1000
(920) 746-3788
Mailing address
622 BODART ST, GREEN BAY, WI 54301-4923
(920) 437-7206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002406-15
WI
Other
Enumeration date
08/19/2020
Last updated
10/14/2025
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