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Individual

BRADLEY ALLEN LOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14366
MN
363AS0400X
Surgical Physician Assistant
14366
MN

Other

Enumeration date
06/11/2020
Last updated
04/01/2024
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