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Individual

DR. THOMAS BRADLEY STRANDNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125-052532
IL
207LP3000X
Pediatric Anesthesiology Physician
55570-20
WI
207LP3000X
Pediatric Anesthesiology Physician
Primary
DR.0051539
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125-052532
STATE LICENSE NUMBER
IL
01
55570-20
STATE LICENSE WI
WI
01
DR.0051539
COLORADO MEDICAL LICENSE
CO
Enumeration date
10/29/2008
Last updated
07/16/2020
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