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Craig Berry

NPI 1093043101 · on the registry since 2009 · sole proprietor

Practice

Address
920 Lamplighter Ln
Grafton, WI 53024
Phone
(262) 573-1657

Registry record

Primary taxonomy
332B00000X
332B00000X
Also registered as
332BX2000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin