Individual
DR. PATRICK BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301100939
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301100939
MI
Other
Enumeration date
04/18/2012
Last updated
12/02/2021
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