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Contact Information

ROMAN BEREZOVSKI, MD
8901 N 76TH ST
MILWAUKEE, WI53223-1901
 Phone: 414-354-0772
 Fax: 414-365-0773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ROMAN BEREZOVSKI · (Male)

NPI # 1871569830
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2006
Last updated 04/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 48739-20
  • WI Medicaid 34811900
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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