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Individual

BRANDON ROBERT BUKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
64065
MN
207X00000X
Orthopaedic Surgery Physician
81559
WI

Other

Enumeration date
06/12/2017
Last updated
08/31/2023
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