Shannon Gabrielle Bradley M.D.

NPI 1417124538 - Family Medicine - 207Q00000X

NPI Details
NPI 1417124538
Gender Female
Enumeration Date 05/08/2008
Last Updated 12/22/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
330 N 8TH AVE E
DULUTH MN, 55805-2024, US
Phone (218) 723-1112
Fax (218) 529-9120
Business Location
330 N 8TH AVE E
DULUTH MN, 55805-2024, US
Phone (218) 723-1112
Fax (218) 529-9120
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 51866
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According to our database, Shannon Gabrielle Bradley M.D. NPI is 1417124538, taxonomy code is 207Q00000X and license number is 51866, license state is located at Minnesota. Shannon Gabrielle Bradley M.D. physically located at 330 N 8th Ave E, Duluth MN, 55805-2024. NPI Number Shannon Gabrielle Bradley M.D. has the Individual type.

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1417124538 NPI number is provided on an as is basis without warranty of any kind. 1417124538 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Gabrielle Bradley M.D. are for informational purposes only.