PHILLIP BUGANSKI

VADNAIS HEIGHTS, MN
NPI1174110043
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy247200000X Technician, Other
(Licence: MN  2389)
Enumeration Date2020-12-28
Last Update Date2020-12-28
Business Address
PHILLIP BUGANSKI LAT, OTC
3580 ARCADE ST
VADNAIS HEIGHTS, MN 55127-7135
Phone number: 651-968-5200
Mailing Address
PHILLIP BUGANSKI LAT, OTC
4952 EMMIT DR N UNIT 2
HUGO, MN 55038-8505
Phone number: 763-355-2874