Individual
DR. JUSTIN LEE BRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1507
(608) 263-8799
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
60568-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
60568
WI
Other
Enumeration date
03/25/2008
Last updated
01/15/2021
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