Individual
SERINA TONYA BRUEGGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(865) 342-8900
(865) 691-0843
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1311
MN
367500000X
Certified Registered Nurse Anesthetist
3725-33
WI
367500000X
Certified Registered Nurse Anesthetist
R1617175
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306098777
—
WI
Enumeration date
10/16/2008
Last updated
03/17/2018
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