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Individual

MR. BRUCE J STUPICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-4431
(952) 758-7876
Mailing address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-4431
(952) 758-7876

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 083499-1
MN

Other

Enumeration date
09/07/2006
Last updated
07/08/2007
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