Brandon Michael Rucker, M.D. Valid NPI

Individual provider · Pediatrics Physician · Summit, WI

NPI

1477843001

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

62013-20 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2011-04-16

Last updated

2023-10-03