Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE RAE BRADDY, M.D.
ActiveMICHELLE RAE BRADDY, M.D. is a Family Medicine healthcare provider located in DIETERICH, Illinois. NPI 1619068061 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DIETERICH, IL
Registration Details
- NPI Number
- 1619068061
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2006 (19.890201085004 yrs)
- Last Updated
- Mar 7, 2023
- License
-
036120332 (IL)
Practice Information
- Address
-
203 S MAIN STDIETERICH, IL, 624241128Browse IL providers · Browse ZIP 62424
- Phone
- 2179255730
- Fax
- 2179255736
- Primary Specialty
-
Family Medicine
207Q00000X
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.