Mr. Bradley Robert Wille
Orthopaedic Surgeon
1645 Lyndale Ave N Ste 103
Faribault
, Minnesota 55021-2935
Mr. Bradley Robert Wille
Orthopaedic Surgeon
1645 Lyndale Ave N Ste 103
Faribault
, Minnesota 55021-2935
(651) 968-5904
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Mr. Bradley Robert Wille
- 710 Commerce Dr Ste 200
- Woodbury, MN
- Zip : 55125-4925
- Fax : (651) 968-5904
- Phone : (651) 968-5201
Second Address
- Mr. Bradley Robert Wille
- 1645 Lyndale Ave N Ste 103
- Faribault, MN
- Zip : 55021-2935
- Fax : (651) 968-5904
- Phone : (651) 968-5201
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 32450 | MN |
National Provider Identifier
| NPI | 1023083045 |
|---|---|
| Provider Name | Mr. Bradley Robert Wille |
| First Address | Woodbury, MN 55125-4925 |
| Second Address | Faribault, MN 55021-2935 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2006 |
| Last Update Date | 15/08/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.