person
Bradley D Bastow, DO
Cardiovascular Disease Physician in South Haven, Michigan
NPI 1346221082

Bradley D Bastow is a Cardiovascular Disease Physician based in South Haven, MI and is specialized in Cardiovascular Disease. Bradley D Bastow practices in South Haven, MI and has the professional credentials of DO. The NPI Number for Bradley D Bastow is 1346221082 and holds a License No. 5101008849 (Michigan).

The current practice location address for Bradley D Bastow is 950 Blue Star Hwy, South Haven, MI and can be reached out via phone at 269-637-1388 and via fax at 269-637-1459.

Location: 950 Blue Star Hwy, South Haven, MI, 49090-7759
person
Provider Profile Details
NPI Number
1346221082
Provider Name
Bradley D Bastow
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
950 Blue Star Hwy, South Haven, MI, 49090-7759
Phone Number
269-637-1388
Fax Number
269-637-1459
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3449722 05 MI
institution
Provider Business Practice Location Address Details
Address
950 Blue Star Hwy
City
State
Zip
49090-7759
Phone Number
269-637-1388
Fax Number
269-637-1459
person
Provider Business Mailing Address Details
Address
950 Blue Star Hwy
City
State
Zip
49090-7759
Phone Number
269-637-1388
Fax Number
269-637-1459
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
5101008849 (Michigan)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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