Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TODD HAROLD BRUSS, ATC, LAT, CSCS, PA-C
ActiveMR. TODD HAROLD BRUSS, ATC, LAT, CSCS, PA-C is a Physician Assistant healthcare provider located in GREEN BAY, Wisconsin. NPI 1417178443 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GREEN BAY, WI
Registration Details
- NPI Number
- 1417178443
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.286796247702 yrs)
- Last Updated
- Apr 9, 2024
- Licenses
-
3058 (WI)350-039 (WI)
Practice Information
- Address
-
1110 KEPLER DRGREEN BAY, WI, 543118306Browse WI providers · Browse ZIP 54311
- Phone
- 9202885555
- Fax
- 9202885550
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Athletic Trainer
Other Physician Assistant Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| ANGELA LAMACK | PA | 1285634899 |
| MRS. HEATHER RIESSLAND ALLEN | P.A | 1780675603 |
| TRACEY W BEFAY | PA | 1053395913 |
| MR. HOWARD L RETTMANN | PA-C | 1083698633 |
| PENNY S CORNELIUS | PA | 1184609331 |
| ELAINE M SMITH | PA | 1285684662 |
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.