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Individual
BRYAN P PUCIK
Active
Individual
BRYAN P PUCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37212
MN
207Q00000X
Family Medicine Physician
53516
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118371
MEDICA
MN
01
—
080159110
RR MEDICARE
—
01
—
101792
UCARE
MN
01
—
1675630
AMERICAS PPO
MN
01
—
410849339 56001 C173
CHAMPUS
—
01
—
56BO8PU
BCBS
MN
05
—
805722200
—
MN
01
—
HP18443
HEALTH PARTNERS
MN
01
—
NA2951023852
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/15/2020
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