| Dr Mark John Bruzek, DDS, MS | |
|
4419 Air Base Road, Hermantown, MN 55811 | |
| (218) 728-2117 | |
| (218) 728-2700 |
| Full Name | Dr Mark John Bruzek |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4419 Air Base Road, Hermantown, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568687044 | NPI | - | NPPES |
| 33473800 | Medicaid | WI | |
| 3444 | Other | WI | DELTA DENTAL WI ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3444 (Wisconsin) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | S27 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark John Bruzek, DDS, MS 4419 Air Base Road, Hermantown, MN 55811 Ph: (218) 728-2117 | Dr Mark John Bruzek, DDS, MS 4419 Air Base Road, Hermantown, MN 55811 Ph: (218) 728-2117 |
Dr. John Patrick Conry, BDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4419 Air Base Road, Hermantown, MN 55811 Phone: 218-728-2117 Fax: 218-728-2700 | |
Dr. Meaghan Elizabeth Morrell-huot, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 4163 Haines Rd, Hermantown, MN 55811 Phone: 218-722-2428 | |
Bernard W Harrington, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4815 W Arrowhead Rd, Suite #110, Hermantown, MN 55811 Phone: 218-722-0772 | |
Dr. Kimberly Ellen Rostvold, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4419 Air Base Rd, Hermantown, MN 55811 Phone: 218-728-2117 | |
Dr. Kelly A Plote, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4419 Air Base Rd, Hermantown, MN 55811 Phone: 218-728-2117 | |
Stephen Glenn Dahlgren, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5086 Miller Trunk Hwy, Hermantown, MN 55811 Phone: 218-729-9810 Fax: 218-729-9812 |