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Individual
MICHAEL FREDERICK BUGG
Active
Individual
MICHAEL FREDERICK BUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0000023860
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004128
MEMPHIS MANAGED CARE
TN
01
—
0112796
MEDICAID
MS
01
—
123430001
MEDICAID
AR
01
—
203696604
MEDICAID
MO
01
—
220024507
RAIL ROAD MEDICARE
—
01
—
3031619
BLUE CARE
TN
05
—
3075050
—
TN
01
—
96809
BLUE CROSS OF ARKANSAS
AR
Enumeration date
07/10/2006
Last updated
12/09/2008
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