Individual
MR. BRADLEY LLOYD SCHWEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
4611 COUNTY FARM RD, JACKSON, MI 49201-9091
(517) 937-0523
Mailing address
4611 COUNTY FARM RD, JACKSON, MI 49201-9091
(517) 937-0523
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010119
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
633293
PPOM
MI
01
—
L553918
MAGELLON
MI
Enumeration date
12/13/2006
Last updated
07/08/2007
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