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Search › Wisconsin › 1835P1200X

Joel Boerger

NPI 1235720731 · on the registry since 2021 · sole proprietor

Practice

Address
15300 W Grange Ave
New Berlin, WI 53151
Phone
(262) 599-7040
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • W227n6103 Sussex Rd, Sussex, WI

Registry record

Primary taxonomy
1835P1200X
1835P1200X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-28

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