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1780648139
BRADLEY J CLEGG
GRAND RAPIDS, MI
NPI
1780648139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101008860)
Enumeration Date
2006-04-13
Last Update Date
2017-12-04
Business Address
BRADLEY J CLEGG DO
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546-8328
Phone number: 616-252-1500
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Mailing Address
BRADLEY J CLEGG DO
5900 BYRON CENTER AVE SW ATTN: MEDICAL ADMINISTRATION
WYOMING, MI 49519-9606
Phone number:
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