Most Relevant Information
Provider Data
| NPI Number: | 1003177593 |
| Provider Name: | DANIELLE KUSSEROW BERSABE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 26567 |
Most Important Dates
| Enumeration Date: | 05/31/2012 |
| Last Updated: | 12/19/2023 |
Provider Practice Location
920 CEDAR LAKE RD STE R
BILOXI
MS
395322107
Practice Location Phone/Fax
| Phone: | 2282070260 |
| Fax: |
Provider Mailing Location
2200 BERQUIST DR
INTERNAL MEDICINE CLINIC
LACKLAND AFB
TX
78233
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR