Individual
BERNARD DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2826 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2314
(414) 374-8536
Mailing address
9831 N ANDOVER CT, MEQUON, WI 53097-3869
(262) 512-0759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10439-040
WI
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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