DR. Brian Dwight Grudem, O.D.

NPI #1194717298 in White Bear Lake, Minnesota

Provider Information

NPI Number
1194717298
Entity Type
Individual
Name
DR. Brian Dwight Grudem, O.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 16, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
4720 WHITE BEAR PKWY
ZIP Code
55110-3336
Phone
(651) 426-2747

Specialties & Taxonomy Codes

Specialty
Optometrist

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