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1396769220
WALLACE JOHN BRUDER
TRAVERSE CITY, MI
NPI
1396769220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 4301033897)
Enumeration Date
2006-07-26
Last Update Date
2011-02-03
Business Address
Dr. WALLACE JOHN BRUDER M.D.
4045 W ROYAL DR
TRAVERSE CITY, MI 49684-8965
Phone number: 231-935-0900
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Mailing Address
Dr. WALLACE JOHN BRUDER M.D.
4045 W ROYAL DR
TRAVERSE CITY, MI 49684-8965
Phone number: 231-935-0900
Copy
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