Carol R Bradford, MD
Otolaryngology in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1710074588
StatusActive
Last updated in NPPESFeb 27, 2012
Details
- NPI
- 1710074588
- Entity type
- Individual (NPI-1)
- Name
- Carol R Bradford
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Last updated
- Feb 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 4301406777 | MI | Yes |
Practice location
1500 East Medical Center Dr1st Floor Taubman Ctr Recp A
Ann Arbor, MI 48109-5312
Phone 734-936-8051
Mailing address
3621 S State St700 Kms Place
Ann Arbor, MI 48108
Phone 734-936-2047
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