Bradley Scilley RN

NPI 1043431646 - Registered Nurse - 163W00000X

NPI Details
NPI 1043431646
Gender Male
Enumeration Date 05/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
425 7TH ST NW
CASS LAKE MN, 56633, US
Phone (218) 335-3334
Fax
Business Location
425 7TH ST NW
CASS LAKE MN, 56633, US
Phone (218) 335-3334
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Minnesota
License Number R132875-2
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According to our database, Bradley Scilley RN NPI is 1043431646, taxonomy code is 163W00000X and license number is R132875-2, license state is located at Minnesota. Bradley Scilley RN physically located at 425 7th St Nw, Cass Lake MN, 56633. NPI Number Bradley Scilley RN has the Individual type.

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1043431646 NPI number is provided on an as is basis without warranty of any kind. 1043431646 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Scilley RN are for informational purposes only.