Individual
MICHELLE BRUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1047
(512) 509-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17317
TX
Other
Enumeration date
08/25/2023
Last updated
02/19/2024
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