Individual
PHILIP W DIPERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
195687-30
WI
363L00000X
Nurse Practitioner
Primary
7597-33
WI
Other
Enumeration date
03/08/2017
Last updated
04/03/2017
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