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Individual

SARAH BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-4400
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
141479
NC
207V00000X
Obstetrics & Gynecology Physician
55698
WI
207VX0000X
Obstetrics Physician
Primary
036.143327
IL

Other

Enumeration date
07/02/2007
Last updated
04/15/2021
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