Individual provider · Type 1 NPI
Michael Douglas Bradley, DC
Chiropractor · Marion, IL
NPI number
1063631075
Active
Practice location
2306 W Main St
Marion, IL 62959-1179
Fax (618) 993-3161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0038005625 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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- Guy Bradford Miller, DCChiropractor Marion, IL NPI 1538118633
About NPI 1063631075
Michael Douglas Bradley, DC's National Provider Identifier is 1063631075, issued on Apr 25, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marion, IL. The record was last updated on Jul 8, 2007.