MR. Bradley Paul Bengtson, M.D.

NPI #1447254867 in Grand Rapids, Michigan

Provider Information

NPI Number: 1447254867
Entity Type: Individual
Name: MR. Bradley Paul Bengtson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Plastic Surgery
Credential: M.D.
Enumeration Date: Jun 13, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 220 LYON ST NW
Address 2: STE 700
City: Grand Rapids
State: Michigan
ZIP Code: 49503-2210
Phone: (616) 451-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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