Bruce A Wallstedt in Brentwood - Family Medicine
Bruce A Wallstedt - NPI 1770578882
Bruce A Wallstedt is a Family Medicine in Brentwood, Tennessee. Bruce A Wallstedt practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bruce A Wallstedt is 1770578882. The last update date is 2010-03-17.
Bruce A Wallstedt's current location address is 6323 Canterbury Close, Brentwood, Tennessee. You can contact this provider via phone number 6155049479 and fax number 6157307334. The mailing address for Bruce A Wallstedt is 6323 Canterbury Close, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce A Wallstedt |
|---|---|
| Address | 6323 Canterbury Close, Brentwood, Tennessee |
| Phone Number | 6155049479 |
| Fax Number | 6157307334 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770578882 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2010-03-17 |
Provider Mailing Address Detail
| Address | 6323 Canterbury Close |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370274870 |
| Phone Number | 6155049479 |
| Fax Number | 6157307334 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD25914 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3086317 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bruce A Wallstedt?
The Bruce A Wallstedt has been issued the NPI (National Provider Identifier) 1770578882 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Bruce A Wallstedt?
The Bruce A Wallstedt is physically situated at 6323 Canterbury Close, in the city of Brentwood, state of TN, with the postal code 370274870.
What is Bruce A Wallstedt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce A Wallstedt is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Bruce A Wallstedt receive the assignment of its 1770578882 from the Centers for Medicare & Medicaid Services?
The Bruce A Wallstedt was issued its 1770578882 by the Centers for Medicare & Medicaid Services on 2005-09-14.
As of what date was the information regarding Bruce A Wallstedt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce A Wallstedt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-17.
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