Individual
MS. ELIZABETH BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5775
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NONE AVAILABLE
—
05
—
1457760514
—
WI
Enumeration date
08/03/2014
Last updated
08/04/2022
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