Individual
ERIKA D BRUDZINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11500 NORTHLAKE DR STE 400, CINCINNATI, OH 45249-1658
(513) 742-6310
(513) 742-6318
Mailing address
11500 NORTHLAKE DR STE 400, CINCINNATI, OH 45249-1658
(513) 742-6310
(513) 742-6318
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
86180
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
86180
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488408
ANTHEM BCBS
OH
05
—
2601723
—
OH
Enumeration date
02/03/2006
Last updated
12/02/2019
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