Dr. Bruce J Trusock
Sports Medicine Doctor
600 Macinnes Dr.
Houghton
, Michigan 49930-1569
Dr. Bruce J Trusock
Sports Medicine Doctor
600 Macinnes Dr.
Houghton
, Michigan 49930-1569
(906) 346-6474
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Bruce J Trusock
- 301 Explorer St
- Gwinn, MI
- Zip : 49841-2813
- Fax : (906) 346-6474
- Phone : (906) 346-4924
Second Address
- Dr. Bruce J Trusock
- 600 Macinnes Dr.
- Houghton, MI
- Zip : 49930-1569
- Fax : (906) 483-1166
- Phone : (906) 483-1860
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 43040911 | MI |
National Provider Identifier
| NPI | 1003876533 |
|---|---|
| Provider Name | Dr. Bruce J Trusock |
| First Address | Gwinn, MI 49841-2813 |
| Second Address | Houghton, MI 49930-1569 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2006 |
| Last Update Date | 14/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0829560001 | MEDICARE DME (01) | MI |
| 0C16002 | MEDICARE GROUP (01) | MI |
| 103231075 | (05) | MI |
| B44994 | (02) | MI |
| BT040911 | BLUECROSS STATE ID (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.