Individual
DR. BRADLEY JOSEPH DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 GROVE ST, LEC, ST PAUL, MN 55101
(651) 266-9414
Mailing address
2585 SOUTH SHORE BLVD, WHITE BEAR, MN 55110
(651) 278-3964
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MN 33988
MN
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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