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Bradley Wallace

NPI 1578839981 · on the registry since 2012

Practice

Address
6175 Cahill Ave
Ste. 103
Inver Grove Heights, MN 55076
Phone
(651) 967-7753
Organisation at this address
Christopher P. Gregg
Northland Hearing Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
237600000X
237600000X
Sex
Male
Record last updated
2012-03-29

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