Mary Ann Bertuso PAC

NPI 1689866840 - Emergency Medicine - 207P00000X

NPI Details
NPI 1689866840
Gender Female
Enumeration Date 08/13/2007
Last Updated 08/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1969 W HART ROAD
BELOIT WI, 53511, US
Phone (608) 758-7215
Fax (608) 758-3216
Business Location
1446 N RANDALL AVENUE
JANESVILLE WI, 53545, US
Phone (608) 758-7215
Fax (608) 258-3216
Toxanomy
Taxonomy Code 207P00000X
License State Wisconsin
License Number 1063023
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According to our database, Mrs. Mary Ann Bertuso PAC NPI is 1689866840, taxonomy code is 207P00000X and license number is 1063023, license state is located at Wisconsin. Mary Ann Bertuso PAC physically located at 1969 W Hart Road, Beloit WI, 53511. NPI Number Mary Ann Bertuso PAC has the Individual type.

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1689866840 NPI number is provided on an as is basis without warranty of any kind. 1689866840 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ann Bertuso PAC are for informational purposes only.