Individual
BRET M BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-3320
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-3320
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 166892-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210445000
—
MN
Enumeration date
04/24/2007
Last updated
06/24/2011
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