Individual
DR. BRUCE ROBERT DUCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
911 S WASHINGTON AVE, ROYAL OAK, MI 48067-3215
(248) 336-8478
Mailing address
911 S WASHINGTON AVE, ROYAL OAK, MI 48067-3215
(248) 336-8478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
880421
UNITED CONCORDIA
MI
01
—
D133470
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/05/2006
Last updated
07/08/2007
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