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NPI 1902087463

NPI 1902087463 : BRADLEY E SEEL DPM PC : ANN ARBOR, MI

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General NPI Number Information
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    NPI Number           |    1902087463
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRADLEY E SEEL DPM PC 
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Dates
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    Enumeration Date     |    11/26/2007
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    Last Update Date     |    07/24/2025
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Provider Practice Location Address
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    Address Line         |    3768 PACKARD ST SUITE A
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    City                 |    ANN ARBOR
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    State                |    MI
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    Zip                  |    48108-2090
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    Country              |    US
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    Telephone            |    734-975-1700
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    Fax                  |    734-975-1711
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Provider Business Mailing Address
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    Address Line         |    3768 PACKARD ST SUITE A
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    City                 |    ANN ARBOR
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    State                |    MI
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    Zip                  |    48108-2090
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    Country              |    US
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    Telephone            |    734-975-1700
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    Fax                  |    734-975-1711
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. BRADLEY ERIC SEEL 
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    Credential           |    DPM PC
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    Telephone            |    734-975-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    BS001610
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    License Number State |    MI
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