Whalio Doctors

NPI 1033453303

Jennifer E Bruyere, BAAASRTRM

Practitioner Radiologic Technologist Minneapolis, MN

Practice location

Address
4235 32nd Ave S, Minneapolis, MN 55406-3315
Phone
(612) 729-2205

Registered specialties (2)

Radiologic Technologist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 373912 (MN)
Mammography Radiologic Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 2471M2300X Licence 373912 (MN)

Registry record

NPI
1033453303
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Nov 2012
Record last updated
26 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.