Individual
DR. MICHAEL T BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 243-0900
(970) 245-4235
Mailing address
1001 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 243-0900
(970) 245-4235
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
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