Individual
KEVIN ANTHONY BRUESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092
(651) 982-7000
Mailing address
400 STINSON BLVD FL 2, MINNEAPOLIS, MN 55413-2614
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65419
MN
Other
Enumeration date
04/11/2016
Last updated
07/24/2019
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