Individual
FREDERIC WALTER BRUHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4460 E HUNTINGTON AVE, FRESNO, CA 93702-2962
(559) 459-4300
(559) 459-4569
Mailing address
765 CALLE LOS OLIVOS, SAN CLEMENTE, CA 92673-2717
(559) 760-2202
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G43549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
08/29/2006
Last updated
12/08/2008
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