Brucker, Justin Lee

Brucker, Justin Lee is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-1507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Brucker, Justin Lee can be contacted via phone (608) 263-8799.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-1507
Phone: (608) 263-8799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 60568-20 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 60568 Wisconsin

Profile Details

NPI number 1194997601
LBN Legal business name Brucker, Justin Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2008
Last updated Jan 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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