Desmonda L Brady MD

NPI 1013947522 - Pediatrics - 208000000X

NPI Details
NPI 1013947522
Gender Female
Enumeration Date 07/03/2006
Last Updated 01/09/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
5498 109TH AVENUE
PULLMAN MI, 49450, US
Phone (269) 236-5021
Fax (269) 236-5411
Business Location
50 INDUSTRIAL PARK DRIVE
BANGOR MI, 49013, US
Phone (269) 427-7937
Fax (269) 427-5180
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301072883
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According to our database, Desmonda L Brady MD NPI is 1013947522, taxonomy code is 208000000X and license number is 4301072883, license state is located at Michigan. Desmonda L Brady MD physically located at 5498 109th Avenue, Pullman MI, 49450. NPI Number Desmonda L Brady MD has the Individual type.

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1013947522 NPI number is provided on an as is basis without warranty of any kind. 1013947522 is maintained by the National Plan & Provider Enumeration System. The contents of Desmonda L Brady MD are for informational purposes only.