Individual
ROBERT WILLIAM BJERREGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 140, MILWAUKEE, WI 53215-3693
(414) 385-8725
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 140, MILWAUKEE, WI 53215-3693
(414) 385-8725
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
NO75401-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CO1777
—
WI
01
—
NO75401-20
WISCONSIN BOARD OF MEDICINE
WI
Enumeration date
04/28/2016
Last updated
12/20/2021
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