Individual
MRS. BRANDE RUSKUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, APN
Contact information
Practice address
1111 E MELBOURNE AVE, PEORIA, IL 61603-2027
(309) 258-3216
Mailing address
1111 E MELBOURNE AVE, PEORIA, IL 61603-2027
(309) 258-3216
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
209.007763
IL
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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