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Individual
DR. BRUCE J AISTRUP
Active
Individual
DR. BRUCE J AISTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-24474
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100380810A
—
KS
05
—
205720519
—
MO
01
—
50076528
RAILROAD MEDICARE
KS
Enumeration date
02/27/2006
Last updated
11/10/2020
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