Individual
BRADLEY WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043
(586) 627-0024
Mailing address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(313) 278-4601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/28/2020
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