Individual
GEORGE S BRUINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 BRETON RD SE, STE 102, KENTWOOD, MI 49508-5220
(616) 391-9700
(616) 391-9707
Mailing address
4600 BRETON RD SE, STE 102, KENTWOOD, MI 49508-5220
(616) 391-9700
(616) 391-9707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301057804
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3149083
—
MI
Enumeration date
06/10/2005
Last updated
03/16/2011
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