Individual
EMILY BRUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MAIN ST STE 204, ANDERSON, IN 46016-1545
(765) 644-0500
(765) 644-0510
Mailing address
7791 N GOSHEN RD, HUNTINGTON, IN 46750-8879
(260) 750-6344
(765) 644-0500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32001368A
IN
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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