| Doctor Name: | DR. BRUCE J TRUSOCK |
| NPI Number: | 1003876533 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 43040911 |
| Business Practice Address: | 600 Macinnes Dr. Houghton, MI - 499301569 |
| Business Phone Number: | 9064831860 |
| Business Fax Number: | 9064831166 |
| Mailing Address: | 600 Macinnes Dr, HOUGHTON |
| State: | MI |
| Postal Code: | 499311569 |
| Phone Number: | 9064831860 |
| Fax Number: | 9064831866 |
| NPI Enumeration Date: | 03/27/2006 |
| NPI Last Update Date: | 11/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 43040911 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |