Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WALLACE JOHN BRUDER, M.D.

Active

DR. WALLACE JOHN BRUDER, M.D. is a Orthopaedic Surgery healthcare provider located in TRAVERSE CITY, Michigan. NPI 1396769220 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · TRAVERSE CITY, MI

Registration Details

NPI Number: 1396769220
Provider Type: Individual
Gender: Male
NPI Issued: Jul 26, 2006 (20.033781685467 yrs)
Last Updated: Feb 3, 2011
License: 4301033897 (MI)

Practice Information

Address: 4045 W ROYAL DR

TRAVERSE CITY, MI, 496848965
Browse MI providers · Browse ZIP 49684
Phone: 2319350900
Fax: 2319350308
Primary Specialty: Orthopaedic Surgery
207X00000X

Other Orthopaedic Surgery Providers in TRAVERSE CITY, MI

Name	Credential	NPI
MICHAEL J FORNESS	DO	1700852977
DR. PETER THOMAS MCANDREWS III	DO	1396784013
DR. EDWARD J BROPHY	D.O.	1649291519
DR. GREGG B WICKSTROM	M.D.	1992729867
DR. MICHAEL J PETERS II	D.O.	1982628848
ANDREW S BOYCE	MD	1275637811

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.