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Organization

DR BRUCE D SERVEN PC

Active
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Organization

DR BRUCE D SERVEN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE DEVERE SERVEN DC (PRESIDENT)
(810) 732-2210
Entity
Organization

Contact information

Practice address
G4010 W COURT ST, FLINT, MI 48532-3518
(810) 732-2210
(810) 230-0158
Mailing address
G4010 W COURT ST, FLINT, MI 48532-3518
(810) 732-2210
(810) 230-0158

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2301005078
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0981838
HEALTHPLUS OF MICHIGAN
MI
05
2590087
MI
01
950B55005
BCBSM
MI
Enumeration date
06/23/2008
Last updated
06/23/2008
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