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Individual
BRAD C ANDERSON
Active
Individual
BRAD C ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
46
ND
213E00000X
Podiatrist
673
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
46
ND
Other
Enumeration date
07/18/2006
Last updated
04/06/2022
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