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Individual

DR. KURT F. BRUCKMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 ASBURY CIR, HATTIESBURG, MS 39402-1302
(601) 268-5200
(601) 268-5211
Mailing address
101 ASBURY CIR, HATTIESBURG, MS 39402-1302
(601) 268-5200
(601) 268-5211

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
09945
MS
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
09945
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00016251
MS
01
P00064618
RAILROAD MEDICARE
Enumeration date
06/23/2005
Last updated
05/15/2025
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