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Brady Paul
NPI 1982036000 · on the registry since 2013
Practice
- Address
- 15300 Grove Cir N
Maple Grove, MN 55369 - Phone
- (763) 447-2507
- Organisation at this address
- Grand St Paul Cvs Llc
Lang Wieber O.D., P.A.
Luxottica Of America IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
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
- 2013-07-31
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