Individual
BRIAN DAVID BJERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
612 EVERRETT CREEK ROAD, SNEAD'S FERRY, NC 28460
(910) 440-1947
Mailing address
257 EVERETT YOPP DR, SNEADS FERRY, NC 28460-9449
(248) 835-5470
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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