DR. BRIAN GRUDEM, O.D.

Optometrist

Active Individual
NPI: 1194717298

Practice Address

4720 WHITE BEAR PKWY
White Bear Lake, MN 55110

Phone: (651) 426-2747

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes LD1732000 (MN)

Frequently Asked Questions

NPI 1194717298 is the National Provider Identifier for DR. BRIAN GRUDEM, O.D., a Optometrist provider located in White Bear Lake, MN. This NPI was enumerated on August 16, 2005.
DR. BRIAN GRUDEM, O.D. practices at 4720 WHITE BEAR PKWY, White Bear Lake, MN 55110.

Quick Facts

NPI
1194717298
Type
Individual
Enumerated
Aug 16, 2005
Last Updated
Jul 8, 2007

Nearby Providers