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Individual

BRADLEY T VANASSCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301055847
MI
2085R0202X
Diagnostic Radiology Physician
Primary
BV055847
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300Z460020
BLUE CROSS
MI
05
3152928
MI
01
P00957391
RR MEDICARE PTAN
MI
Enumeration date
07/20/2006
Last updated
10/17/2019
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