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Bryan P Pucik, MD
Family Medicine Physician in Mankato, Minnesota
NPI 1073592077

Bryan P Pucik is a Family Medicine Physician based in Mankato, MN. Bryan P Pucik practices in Mankato, MN and has the professional credentials of MD. The NPI Number for Bryan P Pucik is 1073592077 and holds a License No. 53516 (Minnesota).

The current practice location address for Bryan P Pucik is 1230 E. Main Street, Mankato, MN and can be reached out via phone at 507-625-1811.

Location: 1230 E. Main Street, Mankato, MN, 56002-8674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073592077
Provider Name
Bryan P Pucik
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1230 E. Main Street, Mankato, MN, 56002-8674
Phone Number
507-625-1811
Fax Number
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HP18443 01 MN HEALTH PARTNERS
1675630 01 MN AMERICAS PPO
410849339 56001 C173 01 CHAMPUS
NA2951023852 01 MN PREFERRED ONE
56BO8PU 01 MN BCBS
101792 01 MN UCARE
805722200 05 MN
080159110 01 RR MEDICARE
0118371 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
1230 E. Main Street
City
Mankato
State
Minnesota
Zip
56002-8674
Phone Number
507-625-1811
Fax Number
person
Provider Business Mailing Address Details
Address
1230 E. Main Street
City
Mankato
State
Minnesota
Zip
56002-8674
Phone Number
507-625-1811
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
53516 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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