Individual
MR. PETER F BJERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
26115 CLUB LAKE RD, CABLE, WI 54821-4967
(715) 794-2425
Mailing address
26115 CLUB LAKE RD, CABLE, WI 54821-4967
(507) 269-9191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
115327-3
MN
183500000X
Pharmacist
Primary
8328-40
WI
Other
Enumeration date
12/30/2005
Last updated
01/26/2012
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