Individual
DR. BRADLEY WILLIAM KLEBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 1ST ST W, HASTINGS, MN 55033-1147
(651) 438-1800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
48665
MN
174400000X
Specialist
MD00024418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024447
—
WA
01
—
MD00024418
LICENSE NUMBER
WA
Enumeration date
06/17/2006
Last updated
12/08/2011
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