Rucker, Brandon Michael

Rucker, Brandon Michael is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rucker, Brandon Michael can be contacted via phone (262) 434-5000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Phone: (262) 434-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 62013-20 Wisconsin

Profile Details

NPI number 1477843001
LBN Legal business name Rucker, Brandon Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2011
Last updated Oct 3rd, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477843001 NPPES
Wisconsin MEDICAID 100038333

Popular Providers