Individual
AUDREY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W MAUMEE ST, ADRIAN, MI 49221-2019
(517) 759-4018
Mailing address
1907 SUNRISE ST, ANN ARBOR, MI 48103-3542
(732) 690-7513
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5402000144
MI
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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