| NPI | 1992725436 |
|---|---|
| Other Name | BRAD CALLIES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3308) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SD 589) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-07-21 |