Individual
MS. MEGAN M BRUEGGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 CAMPUS DRIVE, SUITE 1, HANCOCK, MI 49930-1569
(906) 483-1040
(906) 483-1270
Mailing address
500 CAMPUS DRIVE, HANCOCK, MI 49930-1569
(906) 483-1040
(906) 483-1270
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
085003024
IL
363AS0400X
Surgical Physician Assistant
Primary
5601006262
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003024
STATE LICENSE
IL
Enumeration date
01/28/2008
Last updated
08/31/2012
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