Phillip Buganski, LAT, OTC
NPI #1174110043 in Vadnais Heights, Minnesota
Provider Information
- NPI Number
- 1174110043
- Entity Type
- Individual
- Name
- Phillip Buganski, LAT, OTC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Credential
- LAT, OTC
- Enumeration Date
- Dec 28, 2020
- Last Updated
- Dec 28, 2020
Practice Location
- Address
- 3580 ARCADE ST
- City
- Vadnais Heights
- State
- Minnesota
- ZIP Code
- 55127-7135
- Phone
- (651) 968-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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