Individual
MRS. PAMELA SUE BRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W7755 CTY RD V, CASCADE, WI 53011-1234
(920) 528-8198
(920) 528-7056
Mailing address
W 7755 CTY. RD. V, CASCADE, WI 53011-1234
(920) 528-8198
(920) 528-7056
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
14165-031
WI
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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