Individual
DEWANE K BRUESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
(559) 784-1110
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G47515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412669
—
AZ
Enumeration date
08/10/2006
Last updated
02/28/2008
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