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Contact Information

BRUCE E HERTZENBERG, LICENSED SURG ASSIST
5130 HOLLY LN N
#3
PLYMOUTH, MN55446-1772
 Phone: 763-694-9248
 Fax: 763-694-0293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
Indicates primary specialty

NPI Profile & details for BRUCE E HERTZENBERG · (Male)

NPI # 1588646970
Status Active
Credentials LICENSED SURG ASSIST
Entity Individual
Enumeration date 11/19/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # SA00271
  • MN Other 89003 CERT. FIRST ASSISTANT
  • MN Other 066759 CERT. SURGICAL TECHNICIAN
  • TX Other SA00271 LIC. SURGICAL ASSISTANT
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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