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Individual

DR. BRAD ELLIOT SCHWANTKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4720 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3336
(651) 426-2747
Mailing address
4720 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3336
(651) 426-2747

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3252
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/09/2009
Last updated
07/12/2011
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