Search › Minnesota › 103TC1900X
Bradley Bengtson
NPI 1417255753 · on the registry since 2011 · sole proprietor
Practice
- Address
- 33 Village Pkwy
Suite 109
Lino Lakes, MN 55014 - Phone
- (612) 644-2502
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-10
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