MEDICARE: TRUCARE INTERNAL MEDICINE & INFECTIOUS DISEASES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1316305626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUCARE INTERNAL MEDICINE & INFECTIOUS DISEASES PLLC

Provider Business Mailing Address
First Line	:	135 MIDWAY DR STE B
Second Line	:
City	:	DU BOIS
State	:	PA
Zip	:	15801-3857
Country	:	US
Telephone Number	:	814-371-2348
Fax Number	:	814-372-6090

Provider Business Practice Location Address
First Line	:	135 MIDWAY DR STE B
Second Line	:
City	:	DU BOIS
State	:	PA
Zip	:	15801-3857
Country	:	US
Telephone Number	:	814-371-2348
Fax Number	:	814-372-6089

Authorized Official
Title or Position	:	OWNER
Name	:	TUESDAE STAINBROOK
Credential	:	DO
Telephone Number	:	412-788-8007

Provider Enumeration Date	:	02/01/2016
Last Update Date	:	12/02/2025

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