Individual
SUZANNE F BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP D, ANN ARBOR, MI 48109-5352
(734) 647-5899
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301048519
MI
207RI0200X
Infectious Disease Physician
Primary
4301048519
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1887898
—
MI
Enumeration date
10/26/2006
Last updated
02/24/2012
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