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Individual
DR. BRADLEY SCOTT JOHNSON
Active
Individual
DR. BRADLEY SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1417528357
MI
390200000X
Student in an Organized Health Care Education/Training Program
M083810221
OK
Other
Enumeration date
07/01/2021
Last updated
04/22/2026
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