Individual
JACOB M SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7025 W MAIN ST, MILWAUKEE, WI 53214-1664
(414) 203-0683
Mailing address
7025 W MAIN ST, MILWAUKEE, WI 53214-1664
(414) 203-0683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18085-40
WI
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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