Individual
MR. BRUCE K GARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3443 W 3RD ST, BLOOMINGTON, IN 47404-4851
(812) 353-3443
Mailing address
1303 E ELLISTON DR, BLOOMINGTON, IN 47401-8610
(812) 332-5627
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001980A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71001980A
IN STATE NP LICENSURE #
IN
Enumeration date
08/31/2006
Last updated
07/08/2007
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