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Individual

DR. BETH K BRUENING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 TOWER RD STE 300, DAKOTA DUNES, SD 57049-5098
(605) 217-4500
(605) 217-4503
Mailing address
101 TOWER RD, STE 300, DAKOTA DUNES, SD 57049-5098
(605) 217-4500
(605) 217-4503

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
17691
NE
207W00000X
Ophthalmology Physician
Primary
28135
IA
207W00000X
Ophthalmology Physician
3577
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025636300
NE
05
2072876
IA
05
7760323
SD
Enumeration date
01/27/2006
Last updated
07/21/2022
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