Individual
BRADLEY TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
229 GALLAGHER ST, SAGINAW, MI 48601-3252
(989) 755-3619
(989) 755-3624
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008049
MI
Other
Enumeration date
01/16/2017
Last updated
04/12/2021
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