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Individual

DR. BRYCE E SCHUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217
(502) 777-9961
(502) 379-8791
Mailing address
2100 GARDINER LN STE 207, LOUISVILLE, KY 40205-2948
(502) 777-9961
(502) 379-8791

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01063466A
IN
208600000X
Surgery Physician
Primary
39250
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000362178
ANTHEM
KY
05
201260320
IN
05
64098676
KY
Enumeration date
06/01/2005
Last updated
05/18/2018
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