Individual
MICHAEL FREDERICK BUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7550 WOLF RIVER BLVD, SUITE 200, GERMANTOWN, TN 38138-1745
(901) 542-6801
(901) 542-6871
Mailing address
7550 WOLF RIVER BLVD, SUITE 200, GERMANTOWN, TN 38138-1745
(901) 542-6801
(901) 542-6871
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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