Individual
MOLLY BRUGGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3100
Mailing address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
158100
CA
207Q00000X
Family Medicine Physician
Primary
MD60970278
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
05/18/2021
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