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1801089024
BRUCE MERRTILL TENNEBAUM
MINNEAPOLIS, MN
NPI
1801089024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MN 20151)
Enumeration Date
2007-08-21
Last Update Date
2007-08-21
Business Address
Dr. BRUCE MERRTILL TENNEBAUM M.D.
3812 ZENITH AVE S
MINNEAPOLIS, MN 55410-1167
Phone number: 612-929-8087
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Mailing Address
Dr. BRUCE MERRTILL TENNEBAUM M.D.
3812 ZENITH AVE S
MINNEAPOLIS, MN 55410-1167
Phone number: 612-929-8087
Copy
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