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Individual

BRUCE KENT WINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
680 W COLUMBIA AVE, BATTLE CREEK, MI 49015-3028
(269) 965-4500
(269) 965-1150
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8743

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
BW057232
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080101081
RAILROAD MEDICARE
MI
05
1285734459
MI
01
700C910950
BCBSM
MI
01
BW057232
BCNBC
MI
Enumeration date
09/25/2006
Last updated
08/26/2009
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