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

MARK DAVID BRADEN JR., DO

Active

MARK DAVID BRADEN JR., DO is a Electrodiagnostic Medicine healthcare provider located in GRAND RAPIDS, Michigan. NPI 1912490905 is currently active in the NPPES registry. Verify at CMS.

Electrodiagnostic Medicine · GRAND RAPIDS, MI

Registration Details

NPI Number
1912490905
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2018 (8.1889157074228 yrs)
Last Updated
Jul 8, 2021
Licenses
5101024138 (MI)
5101026336 (MI)

Practice Information

Address
3300 EAGLE RUN DR NE STE 103
GRAND RAPIDS, MI, 495257069
Browse MI providers · Browse ZIP 49525
Phone
6162342830
Fax
6162342829
Primary Specialty
Electrodiagnostic Medicine
204D00000X
Additional Specialty
Electrodiagnostic Medicine

Other Electrodiagnostic Medicine Providers in GRAND RAPIDS, MI

Name Credential NPI
DR. KEVIN JOSEPH HAYES D.O. 1225254477
DR. LYNNE M CHADFIELD DO 1508088568
DR. DEREK R ROSOL DO 1790050151
DR. KYLE MCDONALD D.O 1861842825
MRS. MADELINE JANELLE GINN-TERPSTRA D.O 1083149173
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.