Individual provider · Type 1 NPI

Stace Todd Bradshaw, MD

Diagnostic Radiology Physician · Eden Prairie, MN

NPI number 1760472138 Active

Practice location

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Call (952) 595-1301 Map

Fax (612) 294-4903

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XM-2194 (GU)
Diagnostic Radiology Physician Primary 2085R0202XH9816 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1760472138

Stace Todd Bradshaw, MD's National Provider Identifier is 1760472138, issued on Oct 26, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Eden Prairie, MN. The record was last updated on Apr 9, 2021.