Woelke, Bradford J
Woelke, Bradford J is an sole proprietor health care provider with primary practice located at 6620 Highland Rd Suite 101, Waterford MI 48327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Woelke, Bradford J can be contacted via phone (248) 666-9332.Contact Information
Primary practice address
6620 Highland Rd Suite 101
Waterford MI 48327
Phone: (248) 666-9332
Fax: (248) 666-0340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301041120 | Michigan |
Profile Details
| NPI number | 1871585307 |
|---|---|
| LBN Legal business name | Woelke, Bradford J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jan 21st, 2009 - about 15 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871585307 | NPPES |
| Michigan | MEDICAID | 1788924 |
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