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Individual

BRADY THOMAS VIBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1555 SOUTH BLVD E, ROCHESTER HILLS, MI 48307-5605
(248) 215-8095
(248) 289-1086
Mailing address
1555 SOUTH BLVD E, ROCHESTER HILLS, MI 48307-5605
(248) 215-8095
(248) 289-1086

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301075858
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4301075858
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4888315
MI
Enumeration date
06/16/2006
Last updated
12/29/2020
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