Individual
DR. BRADLEY A BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-4131
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-4131
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
27817
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220000643
MEDICARE PTAN
MN
Enumeration date
04/17/2006
Last updated
03/04/2014
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