Individual
BRADLEY ALLEN LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413-1761
(763) 587-7737
(763) 587-7069
Mailing address
3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413-1761
(763) 587-7737
(763) 587-7069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26499
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256867500
—
MN
Enumeration date
10/25/2005
Last updated
05/21/2024
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