Edmonson, M Bruce

Edmonson, M Bruce is an individual health care provider with primary practice located at 2880 University Ave , Madison WI 53705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Edmonson, M Bruce can be contacted via phone (608) 263-6421.

Contact Information

Primary practice address
2880 University Ave Madison WI 53705
Phone: (608) 263-6421
Fax: (608) 265-7958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20388 Wisconsin

Profile Details

NPI number 1598731689
LBN Legal business name Edmonson, M Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Feb 2nd, 2009 - about 15 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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