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Individual

BRUCE K DUEMLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25776
WI
208000000X
Pediatrics Physician
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000255
PHYSICIANS PLUS
01
10860
DEAN HEALTH PLAN
01
30585900
HIRSP
05
30585900
WI
01
39080850910
UNITY
01
39080850929
UNITY
01
90002361
WEA INS
01
K12318
MEDICARE
Enumeration date
11/20/2006
Last updated
07/08/2007
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