Individual
DR. SHALAKO M. BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101020034
MI
207P00000X
Emergency Medicine Physician
R3039
TX
Other
Enumeration date
07/02/2012
Last updated
04/09/2026
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