Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bruce Alan Gradolph, RN

Individual provider Registered Nurse · NPI 1073888731

Mr. Bruce Alan Gradolph, RN is a Registered Nurse in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone: (734) 769-7100
Fax: (734) 845-3296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704193798 (MI)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 4704193798 (MI)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 4704193798 (MI)

Record details

NPI number1073888731
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 14, 2012
Last updated in NPPESMarch 14, 2012

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