Individual
DR. BRUCE IAN MILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
141 E 14 MILE RD, CLAWSON, MI 48017-2171
(248) 965-4165
(248) 592-7387
Mailing address
141 E 14 MILE RD, CLAWSON, MI 48017-2171
(248) 965-4165
(248) 592-7387
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
BM012972
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101012972
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14395
MCARE
MI
01
—
2956312664
BLUE CARE NETWORK
MI
05
—
4711548
—
MI
01
—
H57094
HAP
MI
01
—
P00241562
RAILROAD MEDICRE
MI
Enumeration date
10/14/2005
Last updated
01/02/2025
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