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Individual

DR. BRUCE J THALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1301
(612) 294-4903
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA09857900
NJ
2085R0202X
Diagnostic Radiology Physician
4301111424
MI
2085R0202X
Diagnostic Radiology Physician
MD424099
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME127529
FL

Other

Enumeration date
07/18/2006
Last updated
03/05/2025
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