Individual provider · Type 1 NPI
Lisa Ann Whitty Bradley, MD
Plastic and Reconstructive Surgery Physician · Munster, IN
NPI number
1801808662
Active
Practice location
7905 Calumet Ave
Munster, IN 46321-2549
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Other practice locations
- 3601 SW 160th Ave, Suite 250, Miramar, FL 33027-6308 · (877) 866-7123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | 01079522B (IN) |
| Surgery Physician | 208600000X | 01079522A (IN) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 01079522A (IN) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
71 other providers at this address
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- Benedicta Olagbegi, FNPFamily Nurse Practitioner Munster, IN NPI 1356714943
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Other plastic and reconstructive surgery physician providers in Munster
About NPI 1801808662
Lisa Ann Whitty Bradley, MD's National Provider Identifier is 1801808662, issued on Aug 12, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Munster, IN. The record was last updated on Mar 16, 2021.