Individual
DEAN A. BRUSCHWEIN
Active
Individual
DEAN A. BRUSCHWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4769
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000016900
BCBS PIN
MT
01
—
0012223
MDCD PIN
MT
01
—
103073600
MDCD PIN
WY
01
—
8HZM56
MEDICARE LG
MT
01
—
8HZN24
MEDICARE PRYOR
MT
01
—
8HZN68
MEDICARE CROW
MT
Enumeration date
07/20/2006
Last updated
12/02/2014
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