Individual
BRADLEY J CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 CASCADE RD SE, GRAND RAPIDS, MI 49546-8328
(616) 252-1500
(616) 252-1599
Mailing address
5900 BYRON CENTER AVE SW, ATTN: MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008860
MI
Other
Enumeration date
04/13/2006
Last updated
12/04/2017
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