Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY WALLACE
ActiveBRADLEY WALLACE is a Audiologist-Hearing Aid Fitter healthcare provider located in INVER GROVE HEIGHTS, Minnesota. NPI 1578839981 is currently active in the NPPES registry. Verify at CMS.
Audiologist-Hearing Aid Fitter · INVER GROVE HEIGHTS, MN
Registration Details
- NPI Number
- 1578839981
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2012 (14.346648121768 yrs)
- Last Updated
- Mar 29, 2012
Practice Information
- Address
-
6175 CAHILL AVESTE. 103INVER GROVE HEIGHTS, MN, 550765501Browse MN providers · Browse ZIP 55076
- Phone
- 6519677753
- Primary Specialty
-
Audiologist-Hearing Aid Fitter
237600000X
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.