Bradley Wylie
Case Manager/Care Coordinator in Mount Clemens, MI. Individual provider (NPI-1).
NPI number1982179156
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1982179156
- Entity type
- Individual (NPI-1)
- Name
- Bradley Wylie
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2018
- Certification date
- Oct 26, 2020
- Last updated
- Oct 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
175 N Groesbeck HwyMount Clemens, MI 48043
Phone 586-627-0024
Mailing address
175 N Groesbeck HwyMount Clemens, MI 48043-1562
Phone 313-278-4601
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All 80 Case Manager/Care Coordinator providers in Mount Clemens · All 1,029 providers in Mount Clemens
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