Brian Bruckner, M.D.

NPI #1912232331 in Lockport, Illinois

Provider Information

NPI Number: 1912232331
Entity Type: Individual
Name: Brian Bruckner, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Oct 3, 2009
Last Updated: Oct 3, 2009

Practice Location

Address: 16329 WEBER RD
City: Lockport
State: Illinois
ZIP Code: 60441-6558
Phone: (815) 274-8248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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