PATRICK THOMAS BERG

MANITOWOC, WI
NPI1770195810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WI  1002406-15)
Enumeration Date2020-08-19
Last Update Date2020-08-19
Business Address
PATRICK THOMAS BERG DDS
2719 CALUMET AVE
MANITOWOC, WI 54220-5546
Phone number: 920-686-2333
Mailing Address
PATRICK THOMAS BERG DDS
2463 PORTSIDE LN APT 21
MANITOWOC, WI 54220-9693
Phone number: 414-510-1128