Individual
BRADFORD SKLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 CHICAGO AVE, SUITE 300, MINNEAPOLIS, MN 55407-1318
(651) 225-7855
Mailing address
3433 BROADWAY ST NE STE 115, MINNEAPOLIS, MN 55413-1759
(651) 312-1505
(612) 248-2944
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5317240-1205
UT
208C00000X
Colon & Rectal Surgery Physician
Primary
57096
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00039720
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
02/27/2018
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