WILLIAM BRADLEY BIVENS

JACKSON, MI
NPI1114029071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301082936)
Enumeration Date2006-09-02
Last Update Date2021-04-05
Business Address
WILLIAM BRADLEY BIVENS MD
2585 SPRING ARBOR RD
JACKSON, MI 49203-3655
Phone number: 517-784-0032
Mailing Address
WILLIAM BRADLEY BIVENS MD
PO BOX 67000 DEPARTMENT 272801
DETROIT, MI 48267-2728
Phone number: 517-841-6913