NPI 1508406596

Ivette Mariana Brueggemann

Practitioner Independent Duty Medical Technicians Minot Afb, ND

Practice location

Address: 10 Missile Ave, Minot Afb, ND 58705-5003
Phone: (701) 723-5190

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1508406596
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2020
Record last updated: 4 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.