Gradolph, Bruce Alan

Gradolph, Bruce Alan is an individual health care provider with primary practice located at 2215 Fuller Rd , Ann Arbor MI 48105-2303. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Emergency, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is his primary health care specialty. Gradolph, Bruce Alan can be contacted via phone (734) 769-7100.

Contact Information

Primary practice address
2215 Fuller Rd Ann Arbor MI 48105-2303
Phone: (734) 769-7100
Fax: (734) 845-3296
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704193798 Michigan
Nursing Service Providers / Emergency 163WE0003X 4704193798 Michigan
Nursing Service Providers / Home Health 163WH0200X 4704193798 Michigan

Profile Details

NPI number 1073888731
LBN Legal business name Gradolph, Bruce Alan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2012
Last updated Mar 14th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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