person
Bradley Disbrow
Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan
NPI 1205459559

Bradley Disbrow is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Bradley Disbrow practices in Ann Arbor, MI. The NPI Number for Bradley Disbrow is 1205459559 and holds a License No. 4351045897 (Michigan).

The current practice location address for Bradley Disbrow is 4260 Plymouth Rd, Ann Arbor, MI and can be reached out via phone at 734-647-5670.

Location: 4260 Plymouth Rd, Ann Arbor, MI, 48109
person
Provider Profile Details
NPI Number
1205459559
Provider Name
Bradley Disbrow
Credential
Provider Entity Type
Individual
Gender
Male
Address
4260 Plymouth Rd, Ann Arbor, MI, 48109
Phone Number
734-647-5670
Fax Number
Provider Enumeration Date
05/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4260 Plymouth Rd
City
State
Zip
48109-2700
Phone Number
734-647-5670
Fax Number
person
Provider Business Mailing Address Details
Address
4260 Plymouth Rd
City
State
Zip
48109-2700
Phone Number
734-647-5670
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
4351045897 (Michigan)
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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