Bradley Wallace

NPI #1578839981 in Inver Grove Heights, Minnesota

Provider Information

NPI Number
1578839981
Entity Type
Individual
Name
Bradley Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Audiologist-Hearing Aid Fitter
Enumeration Date
Mar 29, 2012
Last Updated
Mar 29, 2012

Practice Location

Address
6175 CAHILL AVE
Address 2
STE. 103
ZIP Code
55076-5501
Phone
(651) 967-7753

Specialties & Taxonomy Codes

Specialty
Audiologist-Hearing Aid Fitter

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