Individual
ELIZABETH A BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39928
MN
207W00000X
Ophthalmology Physician
55317
WI
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
39928
MN
Other
Enumeration date
01/12/2006
Last updated
08/12/2020
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