Provider Demographics
NPI:1932197175
Name:SEEL, BRADLEY E (DPM PC)
Entity Type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:E
Last Name:SEEL
Suffix:
Gender:M
Credentials:DPM PC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3768 PACKARD ST
Mailing Address - Street 2:STE A
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2090
Mailing Address - Country:US
Mailing Address - Phone:734-975-1700
Mailing Address - Fax:734-975-1711
Practice Address - Street 1:3768 PACKARD ST
Practice Address - Street 2:STE A
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2090
Practice Address - Country:US
Practice Address - Phone:734-975-1700
Practice Address - Fax:734-975-1711
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIBS001610213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2759883Medicaid
MIP82733OtherBLUE CARE NETWORK
MIC3305OtherMCARE
MI4314028OtherAETNA
MI20443OtherOMNI CARE
MI104376OtherCARE CHOICES
MI4858150220OtherBCBS OF MI
MI001519OtherMIDWEST HEALTH PLAN
MI001519OtherMIDWEST HEALTH PLAN
MI104376OtherCARE CHOICES
MI20443OtherOMNI CARE