Individual
MR. TIMOTHY STEVEN BREDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHD,, CNP
Contact information
Practice address
10081 DOGWOOD ST NW, SUITE 100, COON RAPIDS, MN 55448-5281
(763) 783-3722
(763) 783-7944
Mailing address
10081 DOGWOOD ST NW, SUITE 100, COON RAPIDS, MN 55448-5281
(763) 783-3722
(763) 783-7944
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0809228
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0809228
NURSE PRACTITIONER CERTIFICATION
MN
Enumeration date
10/19/2009
Last updated
10/13/2011
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