Individual
DR. MICHAEL T BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32391
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01323914
—
CO
Enumeration date
08/15/2006
Last updated
09/13/2012
Update your record
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