Yaw D Berko is a Internal Medicine in Green Bay, Wisconsin. Yaw D Berko practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Yaw D Berko is 1003952995. The last update date is 2021-12-08.
Yaw D Berko's current location address is 1726 Shawano Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Yaw D Berko is 1726 Shawano Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yaw D Berko |
|---|---|
| Address | 1726 Shawano Ave, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003952995 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2021-12-08 |
Provider Mailing Address Detail
| Address | 1726 Shawano Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 5430332160 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 50019-020 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50019-020 | WI | WISCONSIN STATE LICENSE |
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What is the Yaw D Berko's unique identification number?
The Yaw D Berko has been assigned the NPI (National Provider Identifier) Number 1003952995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Yaw D Berko located?
The Yaw D Berko is located at 1726 Shawano Ave, Green Bay, WI 5430332160.
What is the area of specialization for Yaw D Berko, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Yaw D Berko is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Yaw D Berko receive the assignment of its 1003952995 from the Centers for Medicare & Medicaid Services?
The Yaw D Berko was issued its 1003952995 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details pertaining to Yaw D Berko last refreshed?
The information related to the Yaw D Berko, including its address, specialty, and other relevant details, was last updated on 2021-12-08.