Individual
AMY L BUGGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
4907 LESTER RIVER RD, DULUTH, MN 55804-3023
(218) 525-6438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0752769
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05384200
—
MN
Enumeration date
05/11/2006
Last updated
07/08/2007
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