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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