Individual
BRADFORD BITTNER WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7093 DEXTER ANN ARBOR RD, DEXTER, MI 48130-8568
(734) 426-9028
(734) 426-9029
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067908
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108127972
BCBS
MI
05
—
459558310
—
MI
Enumeration date
12/19/2005
Last updated
05/28/2020
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