Brusven, David D

Brusven, David D is an individual health care provider with primary practice located at 11850 Blackfoot St Nw Ste 300 , Coon Rapids MN 55433-2772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brusven, David D can be contacted via phone (763) 236-9000.

Contact Information

Primary practice address
11850 Blackfoot St Nw Ste 300 Coon Rapids MN 55433-2772
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 28908 Minnesota

Profile Details

NPI number 1811961675
LBN Legal business name Brusven, David D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Mar 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811961675 NPPES
Minnesota MEDICAID 695572000

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