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Individual

MR. BRADLEY O BRUHJELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
5864 N PIKE LAKE RD, DULUTH, MN 55811-9650
(218) 729-6144

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0564326
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R0564326
LICENSE
MN
Enumeration date
05/11/2006
Last updated
07/08/2007
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