Individual
DR. MICHAEL J BRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9850 GENESEE AVE STE 500, LA JOLLA, CA 92037-1213
(858) 450-1776
(858) 450-9446
Mailing address
9850 GENESEE AVE STE 500, LA JOLLA, CA 92037-1213
(858) 450-1776
(858) 450-9446
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A79133
CA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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