Individual
MR. GREGG L BRUECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
UNIVERSITY OF VERMONT, 140 PATRICK GYM 97 SPEAR STREET, BURLINGTON, VT 05405-0001
(802) 656-9577
Mailing address
86 TYLER BRIDGE RD, HINESBURG, VT 05461-9105
(802) 482-6032
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000090
VT
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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