Individual
ERICH BRUESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
903 N 2ND ST, PHOENIX, AZ 85004-1906
(602) 416-7600
Mailing address
24247 N 121ST PL, SCOTTSDALE, AZ 85255-5931
(405) 834-2993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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