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Individual

JARED BRUGGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
Mailing address
3903 CEDAR GROVE PKWY APT 407, EAGAN, MN 55122-1488

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2273149
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2779
MN

Other

Enumeration date
10/14/2022
Last updated
03/21/2026
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