Meyer, Bruce

Meyer, Bruce is an individual health care provider with primary practice located at 5101 Minnehaha Ave , Minneapolis MN 55417-1647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Meyer, Bruce can be contacted via phone (612) 317-3102.

Contact Information

Primary practice address
5101 Minnehaha Ave Minneapolis MN 55417-1647
Phone: (612) 317-3102
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6637A Wyoming
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 6637A Wyoming

Profile Details

NPI number 1154326635
LBN Legal business name Meyer, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated May 11th, 2015 - about 11 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 1154326635 NPPES
Wyoming MEDICAID 117200000

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