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1114029071
WILLIAM BRADLEY BIVENS
JACKSON, MI
NPI
1114029071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301082936)
Enumeration Date
2006-09-02
Last Update Date
2021-04-05
Business Address
WILLIAM BRADLEY BIVENS MD
2585 SPRING ARBOR RD
JACKSON, MI 49203-3655
Phone number: 517-784-0032
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Mailing Address
WILLIAM BRADLEY BIVENS MD
PO BOX 67000 DEPARTMENT 272801
DETROIT, MI 48267-2728
Phone number: 517-841-6913
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