Individual
BRADLEY DAVID HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
14441 ALPENA DR, STERLING HEIGHTS, MI 48313-4307
(586) 453-8434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704281196
MI
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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