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1134414246
BRADLEY CRAIG JOHNSON
GRAND RAPIDS, MI
NPI
1134414246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006055)
Enumeration Date
2011-06-16
Last Update Date
2016-04-29
Business Address
Mr. BRADLEY CRAIG JOHNSON PA-C
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-5907
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Mailing Address
Mr. BRADLEY CRAIG JOHNSON PA-C
PO BOX 186
GRAND RAPIDS, MI 49501-0186
Phone number: 616-364-5228
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