James Beres, M.D.

Individual provider Active NPI Vascular & Interventional Radiology Physician · Mequon, WI

NPI 1265414809 · NPPES record last updated Feb 18, 2020

Key facts

NPI
1265414809
Entity type
Individual (NPI type 1)
Primary specialty
Vascular & Interventional Radiology Physician 2085R0204X
License
23723 (WI)
Practice address
10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Phone
(414) 434-0461
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 23723 WI Yes

Addresses

Primary practice location

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078

Mailing address

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078

Other providers in Mequon, WI

All providers in Mequon, WI · Vascular & Interventional Radiology Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.