Individual
BRYAN T HOTUJEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3960 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2569
(763) 236-9236
(763) 684-6006
Mailing address
3960 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2569
(763) 236-9236
(763) 236-9250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
55026-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61439
DEAN HEALTH INSURANCE
WI
Enumeration date
07/14/2009
Last updated
07/13/2021
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