NPI 1356072789

Mitchell Brady, DO

Practitioner Dermatology Physician Farmington Hills, MI

Practice location

Address: 28050 Grand River Ave, Farmington Hills, MI 48336-5919
Phone: (000) 000-0000

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 5151015563 (MI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1356072789
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2022
Record last updated: 6 Jun 2023

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.