Organization
BRUCE LIRONES DO PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE LIRONES (SOLE MEMBER)
(231) 331-4283
Entity
Organization
Contact information
Practice address
9895 RAPID CITY RD NW, RAPID CITY, MI 49676-9506
(231) 331-4283
Mailing address
9895 RAPID CITY RD NW, RAPID CITY, MI 49676-9506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008200
MI
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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