Individual
DR. LIISA L BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-3060
(262) 253-7197
Mailing address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-3060
(262) 253-7197
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
56555
KY
2085R0202X
Diagnostic Radiology Physician
69214-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
S7008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MDR-5907
STATE MEDICAL LICENSE NUMBER
HI
Enumeration date
06/22/2010
Last updated
08/26/2025
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