Individual
DR. BRUCE W KOCOUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 4TH AVE SW, PIPESTONE, MN 56164-1455
(507) 825-5700
(507) 825-4752
Mailing address
916 4TH AVE SW, PIPESTONE, MN 56164-1890
(507) 825-5700
(507) 825-6239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34116
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398003100
—
MN
Enumeration date
04/10/2006
Last updated
10/22/2018
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