Individual
DR. THOMAS P. VAN BRUGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1360
(218) 631-7571
Mailing address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1360
(218) 631-7571
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25385
MN
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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