MR. Michael Phillip Brueckmann, LMT, NCTMB

NPI #1104939552 in O Fallon, Missouri

Provider Information

NPI Number: 1104939552
Entity Type: Individual
Name: MR. Michael Phillip Brueckmann, LMT, NCTMB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT, NCTMB
Enumeration Date: Aug 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1344 STONE CREEK VALLEY CIR
City: O Fallon
State: Missouri
ZIP Code: 63366-3391
Phone: (636) 795-1758

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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