Individual provider · Type 1 NPI
Bradley Dean Conrad, D.C
Chiropractor · Wyoming, MI
NPI number
1174646251
Active
Practice location
3651 Byron Center Ave SW
Wyoming, MI 49519-3665
Fax (616) 530-0205
Mailing address
3674 Bluebird Ave SW
Wyoming, MI 49519-3167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2301006548 (MI) |
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.
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About NPI 1174646251
Bradley Dean Conrad, D.C's National Provider Identifier is 1174646251, issued on Apr 6, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wyoming, MI. The record was last updated on Jul 12, 2010.