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1831285881
WALLACE B BRUCKER
TOMAH, WI
NPI
1831285881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WI 48603)
Enumeration Date
2006-10-05
Last Update Date
2012-06-21
Business Address
-- WALLACE B BRUCKER MD
321 BUTTS AVE
TOMAH, WI 54660-1412
Phone number: 608-374-0303
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Mailing Address
-- WALLACE B BRUCKER MD
321 BUTTS AVE
TOMAH, WI 54660-1412
Phone number:
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