Individual
JACOB LOBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1441 N MAYFAIR RD STE 202, WAUWATOSA, WI 53226-3281
(414) 433-1700
Mailing address
630 N VEL R PHILLIPS AVE UNIT 709, MILWAUKEE, WI 53203-2809
(414) 520-0442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19282-40
WI
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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