Individual
MR. BRUCE D BASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12740 CLOVERLAWN ST, DETROIT, MI 48238
(313) 590-5142
Mailing address
12740 CLOVERLAWN ST, DETROIT, MI 48238
(313) 590-5142
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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