Individual
KATHERINE R BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2945 HAZELWOOD ST, MAPLEWOOD, MN 55109
(651) 770-3320
Mailing address
2945 HAZELWOOD ST STE 210, MAPLEWOOD, MN 55109-1243
(651) 770-3320
(651) 747-3258
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
64380
MN
390200000X
Student in an Organized Health Care Education/Training Program
5101021357
MI
Other
Enumeration date
06/27/2014
Last updated
08/07/2018
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