Individual
BRAD MICHAEL RUESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 530-4566
Mailing address
8117 PRESTON RD STE 800, DALLAS, TX 75225-6328
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
17779-33
WI
Other
Enumeration date
12/03/2025
Last updated
12/15/2025
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