David R Bradshaw, MED, LP
NPI #1093890782 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1093890782
- Entity Type
- Individual
- Name
- David R Bradshaw, MED, LP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- MED, LP
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 14569 GRAND AVE
- Address 2
- SUITE 200
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55306-5729
- Phone
- (952) 892-7690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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