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What gives me pause is the Brunswick/Wurt. combo.. This requires some research.

However, I have a photo of a priest in a Berlin hospital @ 1918-21 who is wearing a similar bar only reversed order and with a Hansa cross, not a Brunswick one (DRK last).

Clearly the central clearing stations and massive hospitals that served as wounded depots - whence troops trains were routed to smaller or specialist hospitals catalyzed a lot of these bars.

I found a very old New England JAMA article about a US Doctor recounting his time spent "on parole" at such a station in the Rhineland (he never specifies the city). While 99% of the article is about hospital administration or surgical techniques, he mentions an award ceremony of some sort.

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