MEDICARE: HARVEY H. BERNSTEIN MDSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1518198522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARVEY H. BERNSTEIN MDSC

Provider Business Mailing Address
First Line	:	6400 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2156
Country	:	US
Telephone Number	:	414-466-2290
Fax Number	:	414-466-5804

Provider Business Practice Location Address
First Line	:	6400 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2156
Country	:	US
Telephone Number	:	414-466-2290
Fax Number	:	414-466-5804

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. HARVEY H BERNSTEIN
Credential	:	MD
Telephone Number	:	414-466-2290

Provider Enumeration Date	:	08/07/2009
Last Update Date	:	08/07/2009

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