Individual
DR. BRAD ALAN WEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12750 BASS LAKE RD, MAPLE GROVE, MN 55369-6307
(763) 553-1811
(763) 553-0131
Mailing address
12750 BASS LAKE RD, MAPLE GROVE, MN 55369-6307
(763) 553-1811
(763) 553-0131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN-2168
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112008
EYEMED
MN
01
—
22-00006
MEDICA
MN
01
—
46652
HEALTH PARTNERS
MN
01
—
84285BA
BLUE CROSS
MN
01
—
935791000
PREFERRED ONE
MN
Enumeration date
10/18/2006
Last updated
07/09/2007
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