Michelle R Bradley

Family Medicine

Fargo, ND 58104

Female - 18 Yrs Experience - English

Location

4110 51st Ave S

Fargo, ND 58104

Phone number

(701) 364-3100

Summary

Michelle R Bradley is a Family Medicine located at Fargo, ND 58104 and is affiliated with Essentia Health Hospitals. She received her medical degree from Lake Erie College Of Osteopathic Medicine, Erie and has been in practice for more than 18 years.

Professional Identification

  1. NPI#: 1003015314
  2. PAC ID: 3678619020
  3. Clinician Enrollment ID: I20170706002896
  4. Gender: Female
  5. Enumeration: July 16 2007
  6. Last Updated: July 25 2017

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Lake Erie College Of Osteopathic Medicine, Erie
  3. Graduation year: 2004
  4. Taxonomy: 207Q00000X
  5. Specialty: Family Medicine
  6. All specialties: Family Medicine

Medical Practice

  1. Organization: Innovis Health Llc
  2. Group PAC ID: 9931298155
  3. Number of Group Members: 374
  4. Medicare CCN: 350070
  5. Hospital affiliation: Essentia Health

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 4110 51st Ave S, Fargo ND 58104 (701) 364-3100

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