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Contact Information

KEVIN A BRUESKE
5200 FAIRVIEW BLVD
WYOMING, MN55092
 Phone: 651-982-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KEVIN A BRUESKE · (Male)

NPI Number 1588028955
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2016
Last updated 07/24/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 65419
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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