Individual
BRADLEY TETLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3757 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-2403
(616) 365-1433
(616) 365-1465
Mailing address
3757 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-2403
(616) 365-1433
(616) 365-1465
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302026046
MI
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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