Individual
JOHN B BUNDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30865
MN
208M00000X
Hospitalist Physician
Primary
30865
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131224300
—
MN
Enumeration date
01/20/2006
Last updated
08/02/2024
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