Individual
KEVIN R BRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 350-2697
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
4301083612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4608995
—
MI
05
—
4807756
—
MI
05
—
4876815
—
MI
05
—
4877984
—
MI
Enumeration date
07/06/2006
Last updated
02/01/2023
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