Individual
DR. BRADLEY J GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
(517) 663-9555
Mailing address
1031 E SAGINAW ST, LANSING, MI 48906-5519
(517) 487-1288
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101015114
MI
207P00000X
Emergency Medicine Physician
Primary
DO25658
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278127
—
OR
05
—
807243600
—
ID
01
—
P00277345
RR MEDICARE
—
Enumeration date
04/26/2006
Last updated
02/12/2010
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