Dr. Michelle Renae Bradley
Family Doctor
4110 51st Ave S
Fargo
, North Dakota 58104-7776
Dr. Michelle Renae Bradley
Family Doctor
4110 51st Ave S
Fargo
, North Dakota 58104-7776
(320) 202-0756
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Michelle Renae Bradley
- 1702 South University Drive
- Fargo, ND
- Zip : 58103-4940
- Fax : (320) 202-0756
- Phone : (701) 364-3100
Second Address
- Dr. Michelle Renae Bradley
- 4110 51st Ave S
- Fargo, ND
- Zip : 58104-7776
- Phone : (701) 364-3100
Reviews
FAQs
Where did Dr. Michelle Renae Bradley attend graduate school?
Where did Dr. Michelle Renae Bradley do her residency?
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What type of doctor is Dr. Michelle Renae Bradley
In what state does Dr. Michelle Renae Bradley practice in?
Where is Dr. Michelle Renae Bradley ’s practice located?
What is Dr. Michelle Renae Bradley ’s gender?
Is Dr. Michelle Renae Bradley a sole practitioner?
Is Dr. Michelle Renae Bradley accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 14577 | ND |
| N | 207Q00000X | Family Doctor | 52168 | MN |
| N | 207Q00000X | Family Doctor | PT14577 | ND |
National Provider Identifier
| NPI | 1003015314 |
|---|---|
| Provider Name | Dr. Michelle Renae Bradley |
| First Address | Fargo, ND 58103-4940 |
| Second Address | Fargo, ND 58104-7776 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2007 |
| Last Update Date | 25/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036940100 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.