Individual
MITCHELL H BRUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-3232
Mailing address
4510 DORR ST # MS 840, TOLEDO, OH 43615-4040
(419) 383-3888
(419) 383-2860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.123529
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114132
—
OH
Enumeration date
06/19/2012
Last updated
01/23/2020
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