Individual
BRUCE E DALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 GULL RD, SUITE 200, KALAMAZOO, MI 49048-1639
(269) 343-1264
(269) 343-9555
Mailing address
1541 GULL RD, SUITE 200, KALAMAZOO, MI 49048-1639
(269) 343-1264
(269) 343-9555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301042369
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4716750
—
MI
Enumeration date
01/20/2006
Last updated
07/08/2007
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