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Individual

MICHAEL JOSEPH BRADSTREET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1540 N COTNER BLVD APT 7, LINCOLN, NE 68505-1686
(531) 530-9495
Mailing address
1540 N COTNER BLVD APT 7, LINCOLN, NE 68505-1686
(531) 530-9495

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
72750586
NE

Other

Enumeration date
06/17/2025
Last updated
06/17/2025
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