person
Phillip Buganski, LAT,OTC
Other Technician in Vadnais Heights, Minnesota
NPI 1174110043

Phillip Buganski is a Other Technician based in Hugo, MN. Phillip Buganski practices in Vadnais Heights, MN and has the professional credentials of LAT,OTC. The NPI Number for Phillip Buganski is 1174110043 and holds a License No. 2389 (Minnesota).

The current practice location address for Phillip Buganski is 3580 Arcade St, Vadnais Heights, MN and can be reached out via phone at 651-968-5200 and via fax at 651-730-3750.

Location: 3580 Arcade St, Vadnais Heights, MN, 55038-8505
person
Provider Profile Details
NPI Number
1174110043
Provider Name
Phillip Buganski
Credential
LAT,OTC
Provider Entity Type
Individual
Gender
Male
Address
3580 Arcade St, Vadnais Heights, MN, 55038-8505
Phone Number
651-968-5200
Fax Number
651-730-3750
Provider Enumeration Date
12/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2389 01 MN LICENSE
institution
Provider Business Practice Location Address Details
Address
3580 Arcade St
City
State
Zip
55127-7135
Phone Number
651-968-5200
Fax Number
651-730-3750
person
Provider Business Mailing Address Details
Address
3580 Arcade St
City
State
Zip
55127-7135
Phone Number
651-968-5200
Fax Number
651-730-3750
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
License No.
2389 (Minnesota)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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