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Contact Information

JENNIFER E BRUYERE, BA, AAS, RT(R)(M)
4235 32ND AVE S
MINNEAPOLIS, MN55406-3315
 Phone: 612-729-2205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
 

Mammography Radiologic Technologist

2471M2300X
Indicates primary specialty

NPI Profile & details for JENNIFER E BRUYERE · (Female)

NPI Number 1033453303
Status Active
Credentials BA, AAS, RT(R)(M)
Entity Individual
Enumeration date 11/26/2012
Last updated 11/26/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 373912
  • IL Other 500506806 IEMA DIVISION OF NUCLEAR SAFETY
  • MN Other 373912 AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS
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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