Michael Douglas Bradley D.C.

NPI 1063631075 - Chiropractor - 111N00000X

NPI Details
NPI 1063631075
Gender Male
Enumeration Date 04/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2306 W MAIN ST
MARION IL, 62959-1179, US
Phone (618) 997-5959
Fax (618) 993-3161
Business Location
2306 W MAIN ST
MARION IL, 62959-1179, US
Phone (618) 997-5959
Fax (618) 993-3161
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 0038005625
Remove 1063631075 NPI Number
 

According to our database, Dr. Michael Douglas Bradley D.C. NPI is 1063631075, taxonomy code is 111N00000X and license number is 0038005625, license state is located at Illinois. Michael Douglas Bradley D.C. physically located at 2306 W Main St, Marion IL, 62959-1179. NPI Number Michael Douglas Bradley D.C. has the Individual type.

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1063631075 NPI number is provided on an as is basis without warranty of any kind. 1063631075 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Douglas Bradley D.C. are for informational purposes only.