Healthcare Provider Details

I. General information

NPI: 1902087463
Provider Name (Legal Business Name): BRADLEY E SEEL DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3768 PACKARD ST SUITE A
ANN ARBOR MI
48108-2090
US

IV. Provider business mailing address

3768 PACKARD ST SUITE A
ANN ARBOR MI
48108-2090
US

V. Phone/Fax

Practice location:
  • Phone: 734-975-1700
  • Fax: 734-975-1711
Mailing address:
  • Phone: 734-975-1700
  • Fax: 734-975-1711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberBS001610
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. BRADLEY ERIC SEEL
Title or Position: PRESIDENT
Credential: DPM PC
Phone: 734-975-1700