Individual
MRS. SUSAN INGRID BRUEGGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7003
Mailing address
415 NYGAARD ST, OREGON, WI 53575-1413
(608) 445-8606
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1842-029
WI
363A00000X
Physician Assistant
Primary
4157
WI
Other
Enumeration date
10/19/2010
Last updated
03/17/2018
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