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Madeline Bruck
Obstetrics & Gynecology Physician in Saint Louis, Missouri
NPI 1780117085

Madeline Bruck is a Obstetrics & Gynecology Physician based in Saint Louis, MO. Madeline Bruck practices in Saint Louis, MO. The NPI Number for Madeline Bruck is 1780117085 and holds a License No. (Missouri).

The current practice location address for Madeline Bruck is 401 Holly Hills Ave, Saint Louis, MO and can be reached out via phone at 314-353-5190.

Location: 401 Holly Hills Ave, Saint Louis, MO, 63111-2410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780117085
Provider Name
Madeline Bruck
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 Holly Hills Ave, Saint Louis, MO, 63111-2410
Phone Number
314-353-5190
Fax Number
Provider Enumeration Date
04/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Holly Hills Ave
City
Saint Louis
State
Missouri
Zip
63111-2410
Phone Number
314-353-5190
Fax Number
person
Provider Business Mailing Address Details
Address
401 Holly Hills Ave
City
Saint Louis
State
Missouri
Zip
63111-2410
Phone Number
314-353-5190
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
2021012619 (Missouri)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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