Individual
CHARLES ALAN BRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, MS11102F, SAINT PAUL, MN 55101-2502
(651) 254-3456
(651) 254-5216
Mailing address
PO BOX 1309, 8170 33RD AVE S MS21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-3456
(651) 254-5216
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53290
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
53290
MN
Other
Enumeration date
06/30/2008
Last updated
09/06/2016
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