Individual
BRUCE A HERMANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST - MAIL STOP 11302C, HEALTHPARTNERS REGIONS BEHAVIORAL HEALTH-ST.PAUL, ST. PAUL, MN 55101-2502
(651) 254-4786
(651) 254-9426
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 254-9426
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31093
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518807500
—
MN
Enumeration date
02/10/2006
Last updated
12/15/2011
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