Individual
DR. SIDNEY D BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208600000X
Surgery Physician
Primary
01068988A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300025350
—
IN
Enumeration date
06/23/2009
Last updated
03/15/2021
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