Provider Demographics
NPI:1639556426
Name:BRUZEK, AMY KATHERINE (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:KATHERINE
Last Name:BRUZEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2525 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4518
Mailing Address - Country:US
Mailing Address - Phone:952-992-5290
Mailing Address - Fax:952-992-5905
Practice Address - Street 1:2525 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4518
Practice Address - Country:US
Practice Address - Phone:952-992-5290
Practice Address - Fax:952-992-5905
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-30
Last Update Date:2023-05-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301107004207T00000X
MN73725207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery