Individual
DR. BRAD A. LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
211 E BUTLER RD, SUITE A-2, MAULDIN, SC 29662-2169
(864) 281-9171
(864) 281-9170
Mailing address
211 E BUTLER RD, SUITE A-2, MAULDIN, SC 29662-2169
(864) 281-9171
(864) 281-9170
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
555
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
735550
—
SC
Enumeration date
11/30/2005
Last updated
07/08/2007
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