Organization
NORTHERN MICHIGAN NEUROLOGY, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY K. EVANS M.D. (PROVIDER)
(231) 935-0340
Entity
Organization
Contact information
Practice address
18688 BENDER TRL, LAKE ANN, MI 49650-9434
(231) 499-1037
(231) 935-0434
Mailing address
18688 BENDER TRL, LAKE ANN, MI 49650-9434
(231) 499-1037
(231) 935-0434
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
BE062479
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3067916
—
MI
Enumeration date
07/05/2006
Last updated
04/20/2023
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