Individual
DIPTI Y PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5400 N PORT WASHINGTON RD, GLENDALE, WI 53217-4918
(414) 967-0387
Mailing address
840 DELAWARE AVE APT E, GRAFTON, WI 53024-9478
(262) 247-6161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16472-40
WI
183500000X
Pharmacist
65959
CA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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