Individual
BRADLEY DISBROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 647-5670
Mailing address
1522 SIMPSON DR, MPB D3230, ANN ARBOR, MI 48109
(734) 763-5589
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351045897
MI
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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