Individual
JENNA GRACE CUSIC BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N4W22370 BLUEMOUND RD, WAUKESHA, WI 53186-1683
(262) 970-5605
Mailing address
N4W22370 BLUEMOUND RD, WAUKESHA, WI 53186-1683
(262) 970-5605
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
61535-20
WI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
61535-20
WI
Other
Enumeration date
04/27/2012
Last updated
08/21/2025
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