Individual
DR. BRADLEY NEAL FRIEDLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2428 LAKE DR SE, GRAND RAPIDS, MI 49506-3162
(616) 957-1217
Mailing address
2428 LAKE DR SE, GRAND RAPIDS, MI 49506-3162
(616) 957-1217
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
5101007429
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D14869126
MEDICARE PTAN
MI
01
—
OD14869
GROUP PTAN
MI
Enumeration date
02/02/2007
Last updated
03/12/2014
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