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Contact Information

KURT E BRUECKERT, MD
1550 HOBBS DR
DELAVAN, WI53115
 Phone: 262-740-4200
 Fax: 262-740-4239
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KURT E BRUECKERT · (Male)

NPI # 1114936820
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 42893
  • WI Medicaid 34041400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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