Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wallace John Bruder, MD

Individual provider Orthopaedic Surgery Physician · NPI 1396769220

Dr. Wallace John Bruder, MD is an Orthopaedic Surgery Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone: (231) 935-0900
Fax: (231) 935-0308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301033897 (MI)

Record details

NPI number1396769220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESFebruary 3, 2011
Mailing address4045 W Royal Dr, Traverse City, MI 49684-8965

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