Individual
MICHAEL JOSEPH BRADBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7457
(205) 348-1770
(205) 348-9868
Mailing address
7174 VASSAR RD, GRAND BLANC, MI 48439-7405
(810) 845-9094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1878
AL
207R00000X
Internal Medicine Physician
5101021401
MI
Other
Enumeration date
06/24/2014
Last updated
09/26/2018
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