BRADLEY CRAIG JOHNSON

GRAND RAPIDS, MI
NPI1134414246
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006055)
Enumeration Date2011-06-16
Last Update Date2016-04-29
Business Address
Mr. BRADLEY CRAIG JOHNSON PA-C
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-5907
Mailing Address
Mr. BRADLEY CRAIG JOHNSON PA-C
PO BOX 186
GRAND RAPIDS, MI 49501-0186
Phone number: 616-364-5228