Individual
DR. BRADLEY ROBERT THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2534 17TH AVE S, SUITE 2D, GRAND FORKS, ND 58201-5215
(701) 746-8636
(701) 746-8827
Mailing address
PO BOX 12875, GRAND FORKS, ND 58208-2875
(701) 746-8636
(701) 746-8827
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
649
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10583
—
ND
Enumeration date
08/19/2005
Last updated
05/13/2015
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