Cunningham, Bruce Langdon
Cunningham, Bruce Langdon is an individual health care provider with primary practice located at University Of Minnesota Physicians 606 24Th Avenue South, Second Floor, Suite 200, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cunningham, Bruce Langdon can be contacted via phone (612) 273-5700.Contact Information
Primary practice address
University Of Minnesota Physicians 606 24Th Avenue South, Second Floor, Suite 200
Minneapolis MN 55455
Phone: (612) 273-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25623 | Minnesota |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 25623 | Minnesota |
Profile Details
| NPI number | 1578590048 |
|---|---|
| LBN Legal business name | Cunningham, Bruce Langdon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578590048 | NPPES |
| Minnesota | Other | 1000600 | PREFERRED ONE |
| Minnesota | Other | 13-70029 | PREFERRED ONE |
| Minnesota | MEDICAID | 275500900 | PREFERRED ONE |
| Minnesota | MEDICAID | 0977173 | PREFERRED ONE |
| Minnesota | Other | HP13115 | PREFERRED ONE |
| Minnesota | Other | 2T090CU | PREFERRED ONE |
| Minnesota | Other | 13-22593 | PREFERRED ONE |
| Minnesota | Other | 768074 | PREFERRED ONE |
| Minnesota | Other | 101572 | PREFERRED ONE |
| Minnesota | Other | A93641 | PREFERRED ONE |
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