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Individual
BENJAMIN BRUSCH
Active
Individual
BENJAMIN BRUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
69454
WI
208D00000X
General Practice Physician
RL12882
ND
Other
Enumeration date
07/01/2013
Last updated
08/24/2018
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