Individual
MR. RICHARD C BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ZABLOCKI DEPARTMENT OF VETERANS AFFAIRS MEDICAL CTN, 5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 389-4276
Mailing address
536 N UNION ST, APPLETON, WI 54911-5032
(920) 739-1097
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11330-040
WI
183500000X
Pharmacist
18158
MA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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