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Individual

DR. BRADLEY K. EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 S MADISON ST, TRAVERSE CITY, MI 49684-2340
(231) 935-0340
Mailing address
110 S MADISON ST, TRAVERSE CITY, MI 49684-2340
(231) 935-0340

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
BE062479
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1302845381
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
3067916
MI
Enumeration date
07/13/2006
Last updated
11/24/2020
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