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Individual

BRUCE J MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
52
ND
213E00000X
Podiatrist
Primary
865
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10063
ND
05
13725
ND
01
28334
BLUE SHIELD
ND
01
CF8850
RAILROAD MEDICARE
ND
Enumeration date
09/30/2006
Last updated
03/11/2024
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