Dr Bradley Burgess, DC | |
39880 Van Dyke Ave Ste 201, Sterling Heights, MI 48313-4670 | |
(586) 745-1021 | |
Not Available |
Full Name | Dr Bradley Burgess |
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Gender | Male |
Speciality | Chiropractor |
Location | 39880 Van Dyke Ave Ste 201, Sterling Heights, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376055970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301010613 (Michigan) | Primary |
Provider Name | Quantum Chiropractic And Massage Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457097537 PECOS PAC ID: 5193103588 Enrollment ID: O20220525001311 |
Mailing Address | Practice Location Address |
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Dr Bradley Burgess, DC 8645 San Marco Blvd, Sterling Heights, MI 48313-4861 Ph: (586) 556-1060 | Dr Bradley Burgess, DC 39880 Van Dyke Ave Ste 201, Sterling Heights, MI 48313-4670 Ph: (586) 745-1021 |
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