Individual
BRAD MARTIN SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1205 S GRANGE AVE STE 510, SIOUX FALLS, SD 57105-0410
(605) 328-8500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
336.100450
IL
207RG0100X
Gastroenterology Physician
Primary
OS020873
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103832800
—
PA
Enumeration date
03/25/2013
Last updated
06/28/2023
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