Individual
MACY MARIE BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 E SNYDER AVE, MONTPELIER, OH 43543-1251
(419) 485-3106
(419) 485-8776
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003531A
IN
363A00000X
Physician Assistant
Primary
50.008579RX
OH
Other
Enumeration date
06/15/2020
Last updated
03/09/2026
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