Bradshaw, Stace Todd
Bradshaw, Stace Todd is an individual health care provider with primary practice located at 11995 Singletree Ln Ste 500 , Eden Prairie MN 55344-5349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bradshaw, Stace Todd can be contacted via phone (952) 595-1301.Contact Information
Primary practice address
11995 Singletree Ln Ste 500
Eden Prairie MN 55344-5349
Phone: (952) 595-1301
Fax: (612) 294-4903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M-2194 | Guam |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | H9816 | Texas |
Profile Details
| NPI number | 1760472138 |
|---|---|
| LBN Legal business name | Bradshaw, Stace Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Apr 9th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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