Bruce Nystrom, PHD

NPI 1700983368 · on the registry since 2006 · sole proprietor

Practice

Address: 4013 N Ridge Rd Ste 110
Wichita, KS 67205
Phone: (316) 616-0260
Fax: (316) 616-0264
Organisation at this address: Seiler Medicine Llc
Able Chiropractic, Pa
Lekan & Associates Llc
Surgical Specialists Pa
Revive & Thrive Mental Health, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 20

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 103T00000X
103TA0400X
103TA0700X
103TB0200X
103TC2200X
103TF0000X
103TF0200X
103TH0100X
103TP2701X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas