Individual
TAYLOR J BRUESEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-2911
(855) 209-8413
Mailing address
200 S MANCHESTER AVE # 310, ORANGE, CA 92868-3217
(714) 456-8888
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A121053
CA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
A121053
CA
Other
Enumeration date
08/27/2010
Last updated
08/17/2023
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