Individual
BRYAN BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-1669
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(651) 254-1669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7451
MN
363LF0000X
Family Nurse Practitioner
7451
MN
Other
Enumeration date
06/05/2015
Last updated
09/22/2023
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