Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE EDWARD HERTZENBERG, LICENSED SURG ASSIST
ActiveMR. BRUCE EDWARD HERTZENBERG, LICENSED SURG ASSIST is a Medical Laboratory Technician healthcare provider located in PLYMOUTH, Minnesota. NPI 1588646970 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · PLYMOUTH, MN
Registration Details
- NPI Number
- 1588646970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 19, 2005 (20.703246342729 yrs)
- Last Updated
- Jul 8, 2007
- License
-
SA00271 (TX)
Practice Information
- Address
-
5130 HOLLY LN N#3PLYMOUTH, MN, 554461772Browse MN providers · Browse ZIP 55446
- Phone
- 7636949248
- Fax
- 7636940293
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.