Individual
MICHAEL T BERSTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 9TH ST SW, SUITE 1200, WAVERLY, IA 50677-2929
(319) 352-4340
(319) 352-0745
Mailing address
312 9TH ST SW, SUITE 1200, WAVERLY, IA 50677-2929
(319) 352-4340
(319) 352-0745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20725
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160697
—
IA
01
—
080078030
RR MEDICARE
IA
05
—
1992781793
—
IA
Enumeration date
12/22/2005
Last updated
05/22/2012
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