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Individual

JOURDAN BRADSHAW GARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
11012 E 13 MILE RD STE 112, WARREN, MI 48093-2546
(586) 573-6880
Mailing address
2399 ELLWOOD AVE, BERKLEY, MI 48072-1048
(325) 665-8380

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101023987
MI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
5101027918
MI

Other

Enumeration date
05/27/2018
Last updated
09/05/2024
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