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Individual
MR. MICHAEL WAYNE BRIDGETT
Active
Individual
MR. MICHAEL WAYNE BRIDGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R096847
MD
Other
Enumeration date
03/28/2012
Last updated
03/26/2013
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