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Individual

DR. ROBERT J. HRUSKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 N EDDY ST., SOUTH BEND, IN 46617-3096
(574) 246-8816
(574) 204-6345
Mailing address
211 N EDDY ST., SOUTH BEND, IN 46617-3096
(574) 246-8816
(574) 204-6345

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043972A
IN
207Q00000X
Family Medicine Physician
15405
ND
207Q00000X
Family Medicine Physician
4301116232
MI
207Q00000X
Family Medicine Physician
52696
SC
207Q00000X
Family Medicine Physician
MD046481
DC
207Q00000X
Family Medicine Physician
R9778
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200152430
IN
Enumeration date
10/26/2005
Last updated
09/11/2019
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