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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY D BASTOW, D.O.

Active

BRADLEY D BASTOW, D.O. is a Cardiovascular Disease healthcare provider located in SOUTH HAVEN, Michigan. NPI 1346221082 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · SOUTH HAVEN, MI

Registration Details

NPI Number
1346221082
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2005 (20.793744693195 yrs)
Last Updated
Jul 8, 2007
License
5101008849 (MI)

Practice Information

Address
950 BLUE STAR HWY
SUITE 1-2
SOUTH HAVEN, MI, 490907759
Browse MI providers · Browse ZIP 49090
Phone
2696371388
Fax
2696371459
Primary Specialty
Cardiovascular Disease
207RC0000X

Other Cardiovascular Disease Providers in SOUTH HAVEN, MI

Name Credential NPI
DR. ROBERT EDWARD QUINLAN JR. D.O. 1669786158
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.