Individual
DR. BRAD S FERRARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Mailing address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301072789
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-31349
PHP
MI
01
—
0801103512
BLUE CROSS
MI
01
—
080189736
RAILROAD MEDICARE
—
05
—
4426606
—
MI
01
—
6079525
CIGNA
MI
Enumeration date
06/28/2006
Last updated
03/07/2023
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