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Individual

DR. THOMAS E BRUDERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
395 E MARKET ST, AKRON, OH 44304-1542
(330) 762-8959
(330) 762-1224
Mailing address
20800 HARVARD RD, 2ND FLOOR, HIGHLAND HILLS, OH 44122-7251
(216) 358-2315
(216) 201-7237

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
34-00-6379
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0258500
OH
Enumeration date
01/31/2006
Last updated
12/31/2020
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