Bruss, Todd Harold

Bruss, Todd Harold is an individual health care provider with primary practice located at 1110 Kepler Dr , Green Bay WI 54311-8306. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bruss, Todd Harold can be contacted via phone (920) 288-5555.

Contact Information

Primary practice address
1110 Kepler Dr Green Bay WI 54311-8306
Phone: (920) 288-5555
Fax: (920) 288-5550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3058 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 350-039 Wisconsin

Profile Details

NPI number 1417178443
LBN Legal business name Bruss, Todd Harold
Credentials ATC, LAT, CSCS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Apr 9th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1417178443 NPPES
Wisconsin MEDICAID 1417178443

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