Individual
BRANDON CHRISTOPHER BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 FREEWAY BLVD STE 204, MINNEAPOLIS, MN 55430-1751
(763) 412-1996
(763) 292-5653
Mailing address
2800 FREEWAY BLVD STE 204, MINNEAPOLIS, MN 55430-1751
(763) 412-1996
(763) 292-5653
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
874647200
874647200
MN
Enumeration date
06/17/2020
Last updated
06/17/2020
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