Individual
BRUCE A NITSCHE
Active
Individual
BRUCE A NITSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00019482
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
05
—
1281906
—
WA
01
—
NI6701
BLUE SHIELD
WA
01
—
US0899776
AETNA/USHC PCP
WA
Enumeration date
09/14/2006
Last updated
06/17/2008
Update your record
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