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Bradley James Centala
Student in an Organized Health Care Education/Training Program in Grosse Pointe Woods, Michigan
NPI 1194477075

Bradley James Centala is a Student in an Organized Health Care Education/Training Program based in Grosse Pointe Woods, MI. Bradley James Centala practices in Grosse Pointe Woods, MI. The NPI Number for Bradley James Centala is 1194477075 and holds a License No. (Michigan).

The current practice location address for Bradley James Centala is 1528 Huntington Blvd, Grosse Pointe Woods, MI and can be reached out via phone at 313-910-5152.

Location: 1528 Huntington Blvd, Grosse Pointe Woods, MI, 48236-2533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194477075
Provider Name
Bradley James Centala
Credential
Provider Entity Type
Individual
Gender
Male
Address
1528 Huntington Blvd, Grosse Pointe Woods, MI, 48236-2533
Phone Number
313-910-5152
Fax Number
Provider Enumeration Date
01/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1528 Huntington Blvd
City
Grosse Pointe Woods
State
Michigan
Zip
48236-2533
Phone Number
313-910-5152
Fax Number
person
Provider Business Mailing Address Details
Address
1528 Huntington Blvd
City
Grosse Pointe Woods
State
Michigan
Zip
48236-2533
Phone Number
313-910-5152
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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