| Robert W. Bruley, Jr, Ltd | |
|
2826 W 43rd St Minneapolis MN 55410-1536 | |
| (612) 455-0444 | |
| (612) 455-0600 |
| Full Name | Robert W. Bruley, Jr, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 2826 W 43rd St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Robert W. Bruley (OWNER) |
| Authorized Official Contact | 6124550444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W. Bruley, Jr, Ltd 2826 W 43rd St Minneapolis MN 55410-1536 Ph: (612) 455-0444 | Robert W. Bruley, Jr, Ltd 2826 W 43rd St Minneapolis MN 55410-1536 Ph: (612) 455-0444 |
| NPI Number | 1861637662 |
|---|---|
| Provider Enumeration Date | 12/08/2008 |
| Last Update Date | 12/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861637662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23723 (Minnesota) | Primary |
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