Bertler, David Eugene
Bertler, David Eugene is an individual health care provider with primary practice located at 1400 Scheuring Rd , De Pere WI 54115-1067. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Bertler, David Eugene can be contacted via phone (920) 683-5278.Contact Information
Primary practice address
1400 Scheuring Rd
De Pere WI 54115-1067
Phone: (920) 683-5278
Fax: (920) 683-2131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 29339020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 29339020 | Wisconsin |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 29339020 | Wisconsin |
Profile Details
| NPI number | 1083657555 |
|---|---|
| LBN Legal business name | Bertler, David Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083657555 | NPPES |
| Wisconsin | Other | 29339-020 | STATE LICENSE |
| Wisconsin | Other | 382000019 | STATE LICENSE |
| Wisconsin | MEDICAID | 32318400 | STATE LICENSE |
| Wisconsin | Other | P00218264 | STATE LICENSE |
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