Individual
DR. BRUCE DONIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3011 W. GRAND BLVD., SUITE 862, DETROIT, MI 48202-3012
(313) 871-1100
(313) 871-5376
Mailing address
3011 W. GRAND BLVD., SUITE 862, DETROIT, MI 48202-3012
(313) 871-1100
(313) 871-5376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12986
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1860141
—
MI
Enumeration date
01/19/2006
Last updated
03/31/2014
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