Individual
BRADLEY CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3380 44TH ST SW, GRANDVILLE, MI 49418-2461
(616) 685-2100
(616) 685-1211
Mailing address
3380 44TH ST SW, GRANDVILLE, MI 49418-2461
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901400413
MI
Other
Enumeration date
03/28/2018
Last updated
01/24/2022
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