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Individual

DR. JOHN D BRUCHHAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4541
(318) 966-4543
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-4541
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
022216
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
022216
LA
207RP1001X
Pulmonary Disease Physician
022216
LA
208M00000X
Hospitalist Physician
Primary
022216
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1493864
LA
Enumeration date
10/14/2005
Last updated
02/21/2023
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