Individual
MOIRA E. O'BRIEN-BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2085 N. CALHOUN ROAD, PROHEALTH CARE MEDICAL ASSOCIATES, INC., BROOKFIELD, WI 53005
(262) 928-7100
(262) 513-7111
Mailing address
N17 W24100 RIVERWOOD DRIVE, PROHEALTH CARE MEDICAL ASSOCIATES, INC., WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30019200
—
WI
Enumeration date
02/07/2006
Last updated
11/09/2011
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