Michelle Renae Bradley DO

NPI 1003015314 - Family Medicine - 207Q00000X

NPI Details
NPI 1003015314
Gender Female
Enumeration Date 07/16/2007
Last Updated 02/28/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
615 NELSON DR
CLEARWATER MN, 56320, US
Phone (320) 558-2293
Fax (320) 558-2559
Business Location
251 COUNTY ROAD 120
SAINT CLOUD MN, 56303-4872, US
Phone (320) 202-8949
Fax (320) 202-0756
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 52168
Remove 1003015314 NPI Number
 

According to our database, Dr. Michelle Renae Bradley DO NPI is 1003015314, taxonomy code is 207Q00000X and license number is 52168, license state is located at Minnesota. Michelle Renae Bradley DO physically located at 615 Nelson Dr, Clearwater MN, 56320. NPI Number Michelle Renae Bradley DO has the Individual type.

Sponsored links

1003015314 NPI number is provided on an as is basis without warranty of any kind. 1003015314 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Renae Bradley DO are for informational purposes only.