Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 2006018037 | IN |
NPI | 1073710133 |
---|---|
Provider Name | Dr. Seth David Bruggers |
First Address | Carmel, IN 46032-8773 |
Second Address | Carmel, IN 46032-8773 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 22/02/2012 |