Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN DWIGHT GRUDEM, O.D.
ActiveDR. BRIAN DWIGHT GRUDEM, O.D. is a Optometrist healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1194717298 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1194717298
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2005 (21.006598007645 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LD1732000 (MN)
Practice Information
- Address
-
4720 WHITE BEAR PKWYWHITE BEAR LAKE, MN, 551103336Browse MN providers · Browse ZIP 55110
- Phone
- 6514262747
- Fax
- 6514269838
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN DAVID LUCAS | O.D. | 1407848427 |
| JACLYN ELIZABETH DOFFIN | O.D. | 1053360701 |
| DAVID MICHAEL PERRY | O.D. | 1740230580 |
| ALLYSON K CASPERS | O.D. | 1588615413 |
| ELIZABETH A ROBERTS | O.D. | 1427000397 |
| DR. PAUL CHRISTOPHER ONDERICK | O.D. | 1134368863 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.