Individual
BRADLEY JOSPH BLITSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 E MEDICAL CTR DR, ANN ARBOR, MI 48109-5000
(734) 763-6933
Mailing address
7342 LAURAIN LN, WHITMORE LAKE, MI 48189-3403
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2901601876
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
04/19/2023
Last updated
03/24/2026
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