Individual
M JEAN BRUCE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 MEMORIAL DR, SUITE 1200, BERLIN, WI 54923-1243
(920) 361-5770
(920) 361-5779
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-1313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28491-020
WI
208600000X
Surgery Physician
Primary
28491-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31507600
—
WI
Enumeration date
08/02/2005
Last updated
09/11/2025
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