Individual
BRADLY ROBERT WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 857-1554
(952) 835-9880
Mailing address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 857-1554
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43827
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034979800
—
MN
01
—
43827
MEDICAL LICENSE
MN
Enumeration date
03/18/2006
Last updated
11/17/2022
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