Individual
MARK DAVID BRADEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3300 EAGLE RUN DR NE STE 103, GRAND RAPIDS, MI 49525-7069
(616) 234-2830
(616) 234-2829
Mailing address
1150 E SHERMAN BLVD STE 2400, MUSKEGON, MI 49444-1886
(231) 672-6336
(231) 672-6335
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
5101024138
MI
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101026336
MI
Other
Enumeration date
06/13/2018
Last updated
07/08/2021
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