| NPI Details | |
|---|---|
| NPI | 1215373428 |
| Gender | Male |
| Enumeration Date | 05/14/2013 |
| Last Updated | 05/16/2013 |
| Entity Type | Individual |
| Active | Over 4 years ago |
| Practice Location | |
|---|---|
| 7400 EDINBOROUGH WAY #5312 EDINA MN, 55435-5615, US |
|
| Phone | (612) 233-0797 |
| Fax | |
| Business Location | |
|---|---|
| 7400 EDINBOROUGH WAY #5312 EDINA MN, 55435-5615, US |
|
| Phone | (612) 233-0797 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YA0400X |
| License State | Minnesota |
| License Number | 302934 |
| Remove 1215373428 NPI Number | |
According to our database, Brad Herman LADC NPI is 1215373428, taxonomy code is 101YA0400X and license number is 302934, license state is located at Minnesota. Brad Herman LADC physically located at 7400 Edinborough Way, Edina MN, 55435-5615. NPI Number Brad Herman LADC has the Individual type.
Sponsored links
1215373428 NPI number is provided on an as is basis without warranty of any kind. 1215373428 is maintained by the National Plan & Provider Enumeration System. The contents of Brad Herman LADC are for informational purposes only.
Sponsored links