Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 38612-020 | WI |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 38612-20 | WI |
NPI | 1659328201 |
---|---|
Provider Name | Bruce C Drummond |
First Address | Madison, WI 53713-2334 |
Second Address | Madison, WI 53715-1911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 11/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1659328201 | (05) | WI |
G51987 | (02) |