Individual
JENNIFER LYNN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1316 MERCY DR, MUSKEGON, MI 49444-1891
(231) 739-9461
Mailing address
1316 MERCY DR, MUSKEGON, MI 49444-1891
(231) 739-9461
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301094860
MI
Other
Enumeration date
06/30/2009
Last updated
07/19/2022
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