Individual
DR. BRADLEY JOHN OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2355 HWY 36 W, STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Mailing address
2355 HWY 36 W, STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
75958
MN
Other
Enumeration date
06/08/2016
Last updated
03/28/2024
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