Individual
ZANE PAUL BRUGENEHMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
929
OK
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PENDING
OK
Other
Enumeration date
03/22/2024
Last updated
03/28/2024
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