Individual
DR. BRADLEY STEWART GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1008 N MAIN ST, BLOOMINGTON, IL 61701-1784
(309) 829-5311
(309) 827-8027
Mailing address
1008 N MAIN ST, BLOOMINGTON, IL 61701-1784
(309) 829-5311
(309) 827-8027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010631
IL
152W00000X
Optometrist
2737
TN
Other
Enumeration date
08/12/2007
Last updated
07/01/2016
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