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Individual

DAVID JAMES BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301072906
MI
2080P0202X
Pediatric Cardiology Physician
35.091996
OH
2080P0202X
Pediatric Cardiology Physician
Primary
4301072906
MI
2080P0202X
Pediatric Cardiology Physician
4961827-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2326807
OH
Enumeration date
11/03/2006
Last updated
06/20/2023
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