Individual
GARRETT COLLINS BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-6953
Mailing address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 767-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16524
OR
363AM0700X
Medical Physician Assistant
Primary
1738
MN
Other
Enumeration date
07/10/2012
Last updated
09/10/2025
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