Individual
DR. ALBERT NICHOLAS BRUNO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 504, MUNCIE, IN 47303-3409
(765) 289-7444
(765) 289-8628
Mailing address
2525 W UNIVERSITY AVE, SUITE 504, MUNCIE, IN 47303-3409
(765) 289-7444
(765) 289-8628
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01033351
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000091190
BLUE CROSS
IN
05
—
100106150A
—
IN
Enumeration date
06/07/2006
Last updated
06/12/2013
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