Bradley Bliss, PAc
Physician Assistant, Medical in Wellston, MI. Individual provider (NPI-1).
NPI number1114014180
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1114014180
- Entity type
- Individual (NPI-1)
- Name
- Bradley Bliss
- Credential
- PAc
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2006
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 5601007455 | MI | Yes |
Practice location
14477 Caberfae HwyWellston, MI 49689-9315
Phone 231-848-4777
Mailing address
14477 Caberfae HwyWellston, MI 49689-9315
Phone 231-848-4777
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