Individual
DR. RICHARD J BERENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3560
(414) 266-6092
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3560
(414) 266-6092
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
26919
WI
207LP3000X
Pediatric Anesthesiology Physician
Primary
26919
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000109D
HUMANA
—
05
—
1831140284
—
WI
05
—
31468100
—
WI
Enumeration date
05/12/2006
Last updated
03/01/2024
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