Individual
PAUL F BRUER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3209 WEST 76TH STREET, #303, EDINA, MN 55435
(952) 956-4400
(952) 844-2021
Mailing address
275 HOLLANDER ROAD, WAYZATA, MN 55391
(952) 476-8602
(952) 476-8602
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
29525
MN
207W00000X
Ophthalmology Physician
29525
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801336
MEDICA
—
01
—
639T2BR
BCBS
—
Enumeration date
01/31/2006
Last updated
09/11/2025
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