| Doctor Name: | MR. BRADLEY JOSEPH WATSON |
| NPI Number: | 1053604751 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A.-C |
| License Number: | |
| Business Practice Address: | 3100 Cross Creek Pkwy # 200 Auburn Hills, MI - 483262774 |
| Business Phone Number: | 2483778000 |
| Business Fax Number: | |
| Mailing Address: | 3100 Cross Creek Pkwy, # 200 AUBURN HILLS |
| State: | MI |
| Postal Code: | 483262774 |
| Phone Number: | 2483778000 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2011 |
| NPI Last Update Date: | 05/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |