Provider Demographics
NPI:1215909734
Name:BERMAN, GERALD N (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:N
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 DELAFIED ST.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188
Mailing Address - Country:US
Mailing Address - Phone:262-542-9531
Mailing Address - Fax:262-542-6461
Practice Address - Street 1:1111 DELAFIELD ST
Practice Address - Street 2:SUITE 203
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3417
Practice Address - Country:US
Practice Address - Phone:262-542-9531
Practice Address - Fax:262-542-6461
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2013-03-06
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Provider Licenses
StateLicense IDTaxonomies
WI19200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI3911326245Medicare UPIN