Provider Demographics
NPI:1356362701
Name:FINLEY, BRYAN LUVERNE (CP)
Entity type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:LUVERNE
Last Name:FINLEY
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6523 145TH ST E
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-4617
Mailing Address - Country:US
Mailing Address - Phone:507-663-1650
Mailing Address - Fax:507-663-1352
Practice Address - Street 1:6523 145TH ST E
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-4617
Practice Address - Country:US
Practice Address - Phone:507-663-1650
Practice Address - Fax:507-663-1352
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier