Individual
DR. PHILLIP LOUIS BADRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2230 LAKESHORE DRIVE, FENNVILLE, MI 49408
(269) 543-4620
(269) 543-4620
Mailing address
2230 LAKESHORE DRIVE, FENNVILLE, MI 49408
(269) 543-4620
(269) 543-4620
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301029367
MI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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