Individual
DR. BRUCE A MRUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5258 MONTGOMERY ROAD, NORWOOD, OH 45212
(513) 531-2338
(513) 841-5545
Mailing address
5258 MONTGOMERY ROAD, NORWOOD, OH 45212
(513) 531-2338
(513) 841-5545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15490
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0685067
—
OH
01
—
311812190027
CARESOURCE- MANAGED CARE
OH
Enumeration date
11/01/2006
Last updated
11/19/2015
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