Individual
MICHAEL B. BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9878 HIBERT ST, SUITE 100, SAN DIEGO, CA 92131-1020
(858) 693-3000
(858) 693-3700
Mailing address
9878 HIBERT ST, SUITE 100, SAN DIEGO, CA 92131-1020
(858) 693-3000
(858) 693-3700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A118993
CA
Other
Enumeration date
11/11/2008
Last updated
10/26/2016
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