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Bradley John Michielson, MD

Anesthesiology in Fredericksburg, VA. Individual provider (NPI-1).

NPI number1790776052
StatusActive
Last updated in NPPESJun 23, 2015

Details

NPI
1790776052
Entity type
Individual (NPI-1)
Name
Bradley John Michielson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 4, 2005
Last updated
Jun 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology0101054110VAYes

Practice location

1001 Sam Perry Blvd
Jean Lockey
Fredericksburg, VA 22401-4453

Phone 540-741-7614 · Fax 919-873-9821

Mailing address

3100 Spring Forest Rd
Raleigh, NC 27616-2880

Phone 888-280-9533 · Fax 919-873-9821

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