Individual
DR. BRADY ELMER WEISPFENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18 W DIVISION ST, ELBOW LAKE, MN 56531-4136
(218) 685-4710
Mailing address
PO BOX 26, ELBOW LAKE, MN 56531-0026
(218) 685-4710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1123
SD
Other
Enumeration date
07/05/2016
Last updated
09/30/2020
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