Individual
ALEXANDER BRADLEY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 556-1990
(269) 556-1996
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 556-1990
(269) 556-1996
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601009615
MI
Other
Enumeration date
08/27/2019
Last updated
12/08/2023
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