Individual
BRADLEY JON OOSTINDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
300 S STATE ST STE 13, ZEELAND, MI 49464-1678
(800) 850-0535
Mailing address
PO BOX 1, SPRING LAKE, MI 49456-0001
(800) 850-0535
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009494
MI
Other
Enumeration date
06/30/2006
Last updated
06/12/2015
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