Individual
MR. BRADLEY DEAN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LATC
Contact information
Practice address
4185 BRADDOCK TRL, EAGAN, MN 55123-1575
(651) 683-6945
Mailing address
3749 DENMARK TRL W, EAGAN, MN 55123-1010
(651) 688-0960
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1568
MN
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us