Healthcare Provider Details

I. General information

NPI: 1962339937
Provider Name (Legal Business Name): MATTHEW WARD BRUDER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 STATE ST
LA CROSSE WI
54601-3742
US

IV. Provider business mailing address

3177 30TH AVE
ELK MOUND WI
54739-4213
US

V. Phone/Fax

Practice location:
  • Phone: 608-785-8000
  • Fax:
Mailing address:
  • Phone: 715-894-7339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: