Dr Nathan David Berg, AUD | |
11035 W Forest Home Ave, Suite 108, Hales Corners, WI 53130-2541 | |
(414) 529-3215 | |
Not Available |
Full Name | Dr Nathan David Berg |
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Gender | Male |
Speciality | Audiologist |
Location | 11035 W Forest Home Ave, Hales Corners, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558640052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 566156 (Wisconsin) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Provider Name | Ascension Medical Group-southeast Wisconsin Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
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Dr Nathan David Berg, AUD 11035 West Forest Home Avenue, Suite 108, Milwaukee, WI 53130 Ph: (414) 529-3215 | Dr Nathan David Berg, AUD 11035 W Forest Home Ave, Suite 108, Hales Corners, WI 53130-2541 Ph: (414) 529-3215 |
Milwaukee Otologic Auditory Rehabilitation Services Ltd. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11035 W Forest Home Ave, Suite 108, Hales Corners, WI 53130 Phone: 414-529-3215 Fax: 414-529-3214 | |
Ms. Lori Jean Olszewski, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11035 W Forest Home Ave, Suite 108, Hales Corners, WI 53130 Phone: 414-529-3215 |