Individual
KYLE BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036145777
IL
207P00000X
Emergency Medicine Physician
Primary
82204
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912389297
—
WI
Enumeration date
06/23/2015
Last updated
07/11/2023
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