Individual
BRUCE NEWSWANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3160
Mailing address
PO BOX 419569, BOSTON, MA 02241-9569
(781) 280-1699
(781) 276-6454
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
02001536
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082207
ANTHEM
IN
05
—
113067774
—
MI
05
—
200331530
—
IN
01
—
930017086
RAIL ROAD MEDICARE
IN
Enumeration date
03/07/2006
Last updated
12/07/2023
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