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Search › Ohio › 171M00000X

Derrick Bruggeman

NPI 1174308837 · on the registry since 2023

Practice

Address
6161 Oak Tree Blvd
Independence, OH 44131
Phone
(216) 217-1966
Organisation at this address
Koinonia Homes, Inc
Koinonia Enterprises Llc
Koinonia Partners Unlimited Llc
Koinonia Community Services Llc
Koinonia Behavioral Health, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2023-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio