Individual
DR. ANDREW JOHN VANBRUGGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2654 S ONEIDA ST STOP 102, GREEN BAY, WI 54304-5337
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2017018862
MO
207Y00000X
Otolaryngology Physician
69733
MN
207Y00000X
Otolaryngology Physician
Primary
77450
WI
Other
Enumeration date
06/30/2017
Last updated
12/07/2022
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