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Bradley T Vanassche, MD
Diagnostic Radiology Physician in Petoskey, Michigan
NPI 1497775514

Bradley T Vanassche is a Diagnostic Radiology Physician based in Petoskey, MI and is specialized in Diagnostic Radiology. Bradley T Vanassche practices in Petoskey, MI and has the professional credentials of MD. The NPI Number for Bradley T Vanassche is 1497775514 and holds a License No. 4301055847 (Michigan).

The current practice location address for Bradley T Vanassche is 1114 Charlevoix Ave, Petoskey, MI and can be reached out via phone at 231-439-9700 and via fax at 231-439-9709.

Location: 1114 Charlevoix Ave, Petoskey, MI, 49770-9701
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Provider Profile Details
NPI Number
1497775514
Provider Name
Bradley T Vanassche
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1114 Charlevoix Ave, Petoskey, MI, 49770-9701
Phone Number
231-439-9700
Fax Number
231-439-9709
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3152928 05 MI
P00957391 01 MI RR MEDICARE PTAN
300Z460020 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1114 Charlevoix Ave
City
State
Zip
49770-9701
Phone Number
231-439-9700
Fax Number
231-439-9709
person
Provider Business Mailing Address Details
Address
1114 Charlevoix Ave
City
State
Zip
49770-9701
Phone Number
231-439-9700
Fax Number
231-439-9709
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
4301055847 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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