Individual
MR. ANTHONY THOMAS BRIDGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
822 PARK AVE, BEAVER DAM, WI 53916-2206
(608) 887-7511
Mailing address
822 PARK AVE, BEAVER DAM, WI 53916-2206
(608) 887-7511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12512-40
WI
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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