Dr. Bruce E Agneberg, M.D.
Family Medicine in Madison, WI. Individual provider (NPI-1).
NPI number1871587899
StatusActive
Last updated in NPPESMar 20, 2013
Details
- NPI
- 1871587899
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bruce E Agneberg
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2005
- Last updated
- Mar 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 51117-20 | WI | Yes |
Practice location
5395 East Cheryl ParkwayMadison, WI 53711-5395
Phone 608-246-4660 · Fax 608-246-4660
Mailing address
5395 East Cheryl ParkwayMadison, WI 53711-5395
Phone 608-276-4660 · Fax 608-276-4660
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