Northern Michigan Neurology, P.l.c.

NPI 1417988031 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1417988031
Enumeration Date 07/05/2006
Last Updated 06/12/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRADLEY K. BRADLEY
Position PROVIDER
Phone (231) 935-0340
Fax (231) 935-0434
Practice Location
110 S MADISON ST
TRAVERSE CITY MI, 49684-2340, US
Phone (231) 935-0340
Fax (231) 935-0434
Business Location
110 S MADISON ST
TRAVERSE CITY MI, 49684-2340, US
Phone (231) 935-0340
Fax (231) 935-0434
Toxanomy
Taxonomy Code 2084N0400X
License State Michigan
License Number BE062479
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According to our database, Northern Michigan Neurology, P.l.c. NPI is 1417988031, taxonomy code is 2084N0400X and license number is BE062479, license state is located at Michigan. Northern Michigan Neurology, P.l.c. physically located at 110 S Madison St, Traverse City MI, 49684-2340. NPI Number 1033115704 has the healthcare provider type.

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1417988031 NPI number is provided on an as is basis without warranty of any kind. 1417988031 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Michigan Neurology, P.l.c. are for informational purposes only.