Individual
MARCIE G BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, ELECTROPHYSIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6204
(414) 805-6280
Mailing address
9200 W WISCONSIN AVE, ELECTROPHYSIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6204
(414) 805-6280
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
036-105281
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
34483-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1135 73-601
—
WI
01
—
1473529
CIGNA
—
05
—
1952403818
—
WI
01
—
32637500
NETWORK HEALTH T19
WI
01
—
32637500
MANAGED HEALTH SERVICES
—
01
—
7782095
AETNA
—
Enumeration date
09/02/2006
Last updated
01/29/2013
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