BRADY MICHAEL GROSS

OWATONNA, MN
NPI1013576982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  13269)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2019-06-13
Last Update Date2020-10-09
Business Address
BRADY MICHAEL GROSS MPAS
2200 NW 26TH ST
OWATONNA, MN 55060-5503
Phone number: 507-451-1120
Mailing Address
BRADY MICHAEL GROSS MPAS
201 LYMAN CT NE
RACINE, MN 55967-8823
Phone number: 507-216-2540