Individual
DR. ANDREA K BRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
47670 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3302
(586) 323-2020
(586) 323-4145
Mailing address
30150 TELEGRAPH RD STE 271, BINGHAM FARMS, MI 48025-4521
(248) 395-5166
(586) 323-4145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1773DT
KY
152W00000X
Optometrist
Primary
4901004563
MI
152W00000X
Optometrist
5847
OH
152W00000X
Optometrist
T2761
OH
Other
Enumeration date
07/08/2009
Last updated
06/12/2023
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