Individual
BRADLEY SCILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633
(218) 335-3334
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633
(218) 335-3334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R132875-2
MN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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