Bruce, Marie Louise

Bruce, Marie Louise is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bruce, Marie Louise can be contacted via phone (262) 434-5000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066
Phone: (262) 434-5000
Fax: (262) 434-5050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3543 Wisconsin

Profile Details

NPI number 1760635692
LBN Legal business name Bruce, Marie Louise
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2008
Last updated Sep 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760635692 NPPES
Wisconsin MEDICAID 1760635692

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