Individual
BRADLEY W TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5728 WHITMORE LAKE RD, BRIGHTON, MI 48116-1902
(810) 227-2357
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003169
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4513167
—
MI
Enumeration date
01/22/2007
Last updated
04/17/2012
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