DR. CLARE N BUNTROCK


Address: 10275 Wayzata Blvd, #270, Minnetonka, MN 55305-1659
Phone: 9524019317

DR. CLARE N BUNTROCK (NPI# 1144554858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144554858
Entity Type Individual
Full Name DR. CLARE N BUNTROCK
Credential PH.D.
Practice Address 10275 Wayzata Blvd
#270
Minnetonka
MN 55305-1659
Practice Telephone 9524019317
Practice Fax Number 9524702229
Mailing Telephone 9524019317
Mailing Fax Number 9524702229
Enumeration Date 2009-09-28
Last Update Date 2009-09-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP3140 MN Behavioral Health & Social Service Providers

Office Location

Street Address 10275 WAYZATA BLVD
#270
City MINNETONKA
State MN
Zip Code 55305-1659

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1548658982 Irene Grudsky Contractor 10550 Wayzata Blvd, Minnetonka, MN 55305 2015-01-08
1780093500 Lalaine Arbuthnot Ortlieb Counselor 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 2014-08-06
1235472275 Katherine Thistle Rivard Dietitian, Registered 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 2013-03-28
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639603541 Minnetonka Counseling LLC Psychologist 12301 Whitewater Dr # 30, Minnetonka, MN 55343-9447 2017-04-18
1033267612 Alecia Ann Viera Psychologist 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1502 2007-01-08
1407926363 Rita A Benak Psychologist 11900 Wayzata Blvd Ste 200, Minnetonka, MN 55305-2053 2006-11-08
1720171382 Peggy Susan Maki Psychologist 601 Carlson Pkwy, Suite 1050, Minnetonka, MN 55305-5203 2006-10-02
1548370190 Johanna Lee Lamm Psychologist 11812 Wayzata Blvd, Suite 212, Minnetonka, MN 55305-2012 2006-08-30
1821106279 Sara Elvabogestad Schilplin Psychologist 12301 Whitewater Dr, Ste 101, Minnetonka, MN 55343-9447 2006-08-27
1386757300 Jacquelyn K. Wiersma Psychologist 3931 Auburn Dr, Minnetonka, MN 55305-5196 2006-08-16
1053325175 Susan Kay Powers Olson Psychologist 17508 Minnetonka Blvd, Minnetonka, MN 55345-1007 2006-07-27
1114974201 The Terrace Group Ltd Psychologist 10580 Wayzata Blvd, Ste 150, Minnetonka, MN 55305-1657 2006-05-27
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Competitor

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City MINNETONKA
Zip Code 55305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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