Larson, Bradley
Larson, Bradley is an individual health care provider with primary practice located at 3601 W 13 Mile Rd Dept Of , Royal Oak MI 48073-6712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Larson, Bradley can be contacted via phone (248) 898-0833.Contact Information
Primary practice address
3601 W 13 Mile Rd Dept Of
Royal Oak MI 48073-6712
Phone: (248) 898-0833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301110680 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 4301505299 | Michigan |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301505299 | Michigan |
Profile Details
| NPI number | 1508219239 |
|---|---|
| LBN Legal business name | Larson, Bradley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2016 |
| Last updated | Nov 1st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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