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Individual
BRADLEY S EILERMAN
Active
Individual
BRADLEY S EILERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39906
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
39906
KY
208000000X
Pediatrics Physician
35.084080
OH
208000000X
Pediatrics Physician
39906
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2707128
—
OH
05
—
7100062470
—
KY
01
—
P00847795
RAILROAD MEDICARE
KY
Enumeration date
10/11/2006
Last updated
04/30/2024
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