Kruckeberg, Bradley Michael

Kruckeberg, Bradley Michael is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kruckeberg, Bradley Michael can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905
Phone: (507) 284-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 29171 Minnesota
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 65877 Minnesota

Profile Details

NPI number 1689164493
LBN Legal business name Kruckeberg, Bradley Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2018
Last updated Aug 25th, 2020 - about 5 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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