Individual
DR. BRADFORD J WOELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6620 HIGHLAND RD, SUITE 101, WATERFORD, MI 48327
(248) 666-9332
(248) 666-0340
Mailing address
6620 HIGHLAND RD, SUITE 101, WATERFORD, MI 48327
(248) 666-9332
(248) 666-0340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301041120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1788924
—
MI
Enumeration date
08/19/2005
Last updated
01/21/2009
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