Search › Minnesota › 183500000X
Bradley Peters
NPI 1396343356 · on the registry since 2020 · sole proprietor
Practice
- Address
- 150 Western Ave Nw
Faribault, MN 55021 - Phone
- (507) 332-0084
- Organisation at this address
- Walmart Inc.
Wal Mart Stores, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota