Individual
THOMAS BUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 625-8690
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2212236
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2212236
MN
Other
Enumeration date
01/23/2019
Last updated
01/26/2022
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