Individual
MRS. RITA A BERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4873 IRISH LN, FITCHBURG, WI 53711-5615
(608) 332-2309
Mailing address
4873 IRISH LN, FITCHBURG, WI 53711-5615
(608) 332-2309
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
375816
WI
374U00000X
Home Health Aide
2013254P
WI
Other
Enumeration date
06/05/2013
Last updated
02/25/2016
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