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Contact Information

MARY ANN BERTUSO, PAC
1969 W HART ROAD
BELOIT, WI53511
 Phone: 608-758-7215
 Fax: 608-758-3216
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARY ANN BERTUSO · (Female)

NPI Number 1689866840
Status Active
Credentials PAC
Entity Individual
Enumeration date 08/13/2007
Last updated 11/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1063023
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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