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Individual

BRUCE HAROLD HILLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Mailing address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15320
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0311001
PREFERRED ONE
MN
01
109410
U-CARE
MN
01
117K8HI
BLUE CROSS BLUE SHIELD
MN
01
1520295
UBH MEDICAS
MN
01
HP19043
HEALTH PARTNERS
MN
Enumeration date
08/10/2005
Last updated
07/08/2007
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