Most Relevant Information
Provider Data
| NPI Number: | 1003337809 |
| Provider Name: | ANDREW JOHN VANBRUGGEN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207Y00000X |
| Specialty: | Otolaryngology |
| License Number: | 2017018862 |
Most Important Dates
| Enumeration Date: | 06/30/2017 |
| Last Updated: | 12/07/2022 |
Provider Practice Location
2654 S ONEIDA ST STOP 102
GREEN BAY
WI
543045337
Practice Location Phone/Fax
| Phone: | 8889383838 |
| Fax: | 8889191083 |
Provider Mailing Location
10001 W INNOVATION DR STE 200
MILWAUKEE
WI
532264851
Provider Mailing Phone/Fax
| Phone: | 8889383838 |
| Fax: | 8889191083 |
Suggested EMR
ENT EMR