Individual
ALEX BRUGGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14041 STATE ROUTE 29, ANNA, OH 45302
(937) 622-0075
Mailing address
14041 STATE ROUTE 29, ANNA, OH 45302
(937) 622-0075
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
UP372035
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
UP372035
OH
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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