DR. Bruce Martin Ennis, M.D.

NPI #1639134901 in Mandeville, Louisiana

Provider Information

NPI Number: 1639134901
Entity Type: Individual
Name: DR. Bruce Martin Ennis, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine - Interventional Cardiology
Credential: M.D.
Enumeration Date: Apr 19, 2006
Last Updated: Apr 12, 2023

Practice Location

Address: 675 N CAUSEWAY BLVD
City: Mandeville
State: Louisiana
ZIP Code: 70448-4600
Phone: (985) 200-3530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine - Interventional Cardiology — Interventional Cardiology	207RI0011X	Primary

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Organizations

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