Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bruce Edward Hertzenberg, LICENSEDSURGASSIST

Individual provider Surgical Technologist · NPI 1588646970

Mr. Bruce Edward Hertzenberg, LICENSEDSURGASSIST is a Surgical Technologist in Plymouth, Minnesota. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005

Practice location Address checks out

5130 Holly Ln N #3
Plymouth, MN 55446-1772
Phone: (763) 694-9248
Fax: (763) 694-0293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence SA00271 (TX)

Record details

NPI number1588646970
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSEDSURGASSIST
Sole proprietorNo
NPI enumeratedNovember 19, 2005
Last updated in NPPESJuly 8, 2007

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