Individual
STUART A BRADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101015381
MI
208000000X
Pediatrics Physician
5101015381
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
5101015381
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4427274
—
MI
Enumeration date
10/23/2006
Last updated
11/13/2019
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