Individual
PATRICK BRUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 HICKORY ST, PEMBERVILLE, OH 43450-9514
(419) 266-0338
Mailing address
PO BOX 882, PEMBERVILLE, OH 43450-0882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.093825
OH
390200000X
Student in an Organized Health Care Education/Training Program
57.013388
OH
Other
Enumeration date
07/22/2008
Last updated
07/26/2012
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