Individual
DR. RONALD H BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO PHD
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6830
(989) 583-6994
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6830
(989) 583-6994
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
RB009024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-21053
PHP
MI
01
—
2753324064
BLUE CROSS BLUE SHIELD
MI
05
—
2905346
—
MI
Enumeration date
06/20/2006
Last updated
11/14/2013
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