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1770578882
BRUCE A WALLSTEDT
BRENTWOOD, TN
NPI
1770578882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN MD25914)
Enumeration Date
2005-09-14
Last Update Date
2010-03-17
Business Address
Mr. BRUCE A WALLSTEDT MD
6323 CANTERBURY CLOSE
BRENTWOOD, TN 37027-4870
Phone number: 615-504-9479
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Mailing Address
Mr. BRUCE A WALLSTEDT MD
6323 CANTERBURY CLOSE
BRENTWOOD, TN 37027-4870
Phone number: 615-504-9479
Copy
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