Individual
MS. CANDACE RAE BERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2600 N MAYFAIR RD, MAYFAIRE TOWNER NORTH SUITE 810, MILWAUKEE, WI 53226-1309
(414) 771-1122
(414) 771-1352
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9010
(920) 663-9012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1590-023
WI
Other
Enumeration date
08/05/2006
Last updated
12/08/2020
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