MRS. Susan Ingrid Brueggemann, PHYSICIAN ASSISTANT

NPI #1063722411 in Madison, Wisconsin

Provider Information

NPI Number: 1063722411
Entity Type: Individual
Name: MRS. Susan Ingrid Brueggemann, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Oct 19, 2010
Last Updated: Mar 17, 2018

Practice Location

Address: 2500 OVERLOOK TER
City: Madison
State: Wisconsin
ZIP Code: 53705-2254
Phone: (608) 280-7003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Physician Assistant	363A00000X	Primary

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