Individual
DR. MARY THERESE BRUEGGEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 45433
(937) 257-1558
Mailing address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433
(937) 257-1558
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
34841
KY
2083A0100X
Aerospace Medicine Physician
35072155
OH
Other
Enumeration date
01/10/2007
Last updated
12/04/2019
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