NPI 1013234707

Bradley Bengtson, M.D. PC

Organisation Plastic Surgery Physician Grand Rapids, MI

Practice location

Address: 555 Midtowne St NE Suite 110, Grand Rapids, MI 49503-5729
Phone: (616) 588-8880
Fax: (616) 588-8881

Authorised official

Name: Bradley Bengtson
Title: Owner
Phone: (616) 588-8880

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4301407033 (MI)

Other Plastic Surgery providers in Michigan →

Registry record

NPI: 1013234707
Entity type: Organization
NPI issued: 21 Apr 2010
Record last updated: 21 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.