Individual
BRUCE S. KOVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
37399 GARFIELD RD, SUITE 104, CLINTON TOWNSHIP, MI 48036-3672
(586) 286-5400
(586) 263-4831
Mailing address
37399 GARFIELD RD, SUITE 104, CLINTON TOWNSHIP, MI 48036-3672
(586) 286-5400
(586) 263-4831
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
5101008312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730497
—
MI
Enumeration date
04/03/2006
Last updated
07/08/2007
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