Reginald C Bruskewitz, MD
Urology in Madison, WI. Individual provider (NPI-1).
NPI number1790740470
StatusActive
Last updated in NPPESMay 9, 2008
Details
- NPI
- 1790740470
- Entity type
- Individual (NPI-1)
- Name
- Reginald C Bruskewitz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2006
- Last updated
- May 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 19188 | WI | Yes |
Practice location
600 Highland AveMadison, WI 53792
Phone 608-263-4757 · Fax 608-265-2602
Mailing address
8007 Excelsior DrMadison, WI 53717
Phone 608-829-5201
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