Individual
ASIA MAXINE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27211 LAHSER RD STE 205, SOUTHFIELD, MI 48034-8477
(248) 809-1001
(248) 809-1005
Mailing address
27211 LAHSER RD STE 205, SOUTHFIELD, MI 48034-8477
(248) 234-2642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301103585
MI
207R00000X
Internal Medicine Physician
4301103585
MI
Other
Enumeration date
06/18/2013
Last updated
03/14/2024
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