Individual
MR. CRAIG A BUGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 MAIN ST, ROCHESTER, IN 46975
(574) 223-4337
(574) 223-5847
Mailing address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-3141
(574) 223-5847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01033268A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118440
—
IN
Enumeration date
07/18/2005
Last updated
03/20/2019
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