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Individual

BRADLEY M SLYWKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503
(616) 391-1680
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 988-8220
(616) 285-0846

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301063534
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301063534
MI
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
4301063534
MI
2085B0100X
Body Imaging Physician
4301063534
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
930079711
RAILROAD MEDICARE
MI
01
P00480025
RAILROAD MEDICARE
MI
Enumeration date
07/22/2006
Last updated
05/19/2025
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