Individual
ROBERT E. BRUEGGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4848 S 76TH ST, SUITE 210, GREENFIELD, WI 53220-4361
(414) 282-7444
(414) 282-8221
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43837
WI
208000000X
Pediatrics Physician
43837
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34192100
—
WI
01
—
P00634554
RR MEDICARE
WI
Enumeration date
08/24/2005
Last updated
11/29/2021
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