Search › Minnesota › 363A00000X
Bradley Bastian, PA-C
NPI 1952333296 · on the registry since 2006
Practice
- Address
- 4730 Chicago Ave
Minneapolis, MN 55407 - Phone
- (612) 313-0000
- Fax
- (612) 313-0004
- Organisation at this address
- Dentexpert
Group Health, Inc.
Group Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 96
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-27
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