Conmy, Bruce P

Conmy, Bruce P is an individual health care provider with primary practice located at 1027 Washington Ave , Detroit Lakes MN 56501-3409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Conmy, Bruce P can be contacted via phone (218) 847-5611.

Contact Information

Primary practice address
1027 Washington Ave Detroit Lakes MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 29133 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4645 North Dakota

Profile Details

NPI number 1396795407
LBN Legal business name Conmy, Bruce P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Dec 10th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396795407 NPPES
Minnesota Other 0703070 MEDICA
Minnesota Other 585240896131 MEDICA
Minnesota MEDICAID 1396795407 MEDICA
Minnesota Other 189P8C0 MEDICA
Minnesota MEDICAID 614072600 MEDICA

Popular Providers