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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILLIP BUGANSKI, LAT, OTC

Active Sole Proprietor

PHILLIP BUGANSKI, LAT, OTC is a Technician, Health Information healthcare provider located in VADNAIS HEIGHTS, Minnesota. NPI 1174110043 is currently active in the NPPES registry. Verify at CMS.

Technician, Health Information · VADNAIS HEIGHTS, MN

Registration Details

NPI Number
1174110043
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2020 (5.5910476567197 yrs)
Last Updated
Dec 28, 2020
License
2389 (MN)
Sole Proprietor
Yes

Practice Information

Address
3580 ARCADE ST
VADNAIS HEIGHTS, MN, 551277135
Browse MN providers · Browse ZIP 55127
Phone
6519685200
Fax
6517303750
Primary Specialty
Technician, Health Information
247200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.