Individual
DR. MICHELLE LEA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
25311 LITTLE MACK AVE, SUITE B, SAINT CLAIR SHORES, MI 48081-3301
(586) 498-2400
(586) 498-2800
Mailing address
8301 RELIABLE PKWY, CHICAGO, IL 60686-0083
(586) 498-2400
(586) 498-2800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101012404
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366477572
—
MI
Enumeration date
07/12/2006
Last updated
07/21/2022
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