Individual
DR. MARSHALL F BRUSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 W HAY ST STE 112, DECATUR, IL 62526-6329
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036104593
IL
332B00000X
Durable Medical Equipment & Medical Supplies
036104593
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104593
—
IL
Enumeration date
11/30/2006
Last updated
05/28/2025
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