DR. Brian Dwight Grudem O.D.

  • NPI 1194717298
According to our database, the NPI number for DR. Brian Dwight Grudem O.D. is 1194717298 and activated since 18 years ago. DR. Brian Dwight Grudem O.D. is an individual provider who specializes in Optometrist, and the primary practice location is 4720 White Bear Pkwy, White Bear Lake, MN 55110. You can also contact DR. Brian Dwight Grudem O.D. via telephone number is (651) 426-2747. Provider NPI information was last updated on 07/08/2007.

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Overview of DR. Brian Dwight Grudem O.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/16/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: LD1732000
  • License State: MN

Provider Mailing Address

  • Address: 4720 White Bear Pkwy
    White Bear Lake, MN 55110
  • Phone: 651-426-2747
  • Fax: 651-426-9838

Provider Practice Location

  • Address: 4720 White Bear Pkwy
    White Bear Lake, MN 55110
  • Phone: 651-426-2747
  • Fax: 651-426-9838

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: LD1732000
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0N456GR
  • Identifier Type: Other
  • Identifier State: MN
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Brian Dwight Grudem O.D.?
  • A: The npi number for DR. Brian Dwight Grudem O.D. is 1194717298.
  • Q: What are DR. Brian Dwight Grudem O.D.'s specialties?
  • A: DR. Brian Dwight Grudem O.D.'s specialties are Optometrist and different specialities.
  • Q: What is the medical license for DR. Brian Dwight Grudem O.D.?
  • A: The medical license number for DR. Brian Dwight Grudem O.D. is LD1732000 and issued in MN in USA.
  • Q: Where is DR. Brian Dwight Grudem O.D. practice location?
  • A: DR. Brian Dwight Grudem O.D. is practicing at 4720 White Bear Pkwy, White Bear Lake, MN 55110.
  • Q: How to contact DR. Brian Dwight Grudem O.D.?
  • A: You can contact DR. Brian Dwight Grudem O.D. via 651-426-2747.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Optometrist
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Sports Medicine
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