Individual
DAVID A BRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 MADISON ST, SUITE 1440, SEATTLE, WA 98104-3586
(206) 625-0578
(206) 625-9184
Mailing address
1229 MADISON ST, SUITE 1440, SEATTLE, WA 98104-3586
(206) 625-0578
(206) 625-9184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
46946
MN
207L00000X
Anesthesiology Physician
Primary
MD00048205
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8482051
—
WA
05
—
923102100
—
MN
Enumeration date
02/21/2006
Last updated
07/26/2011
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