Individual
MICHAEL LYNN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8230 SUMMA AVE STE C, BATON ROUGE, LA 70809-3421
(225) 757-0552
(225) 763-9997
Mailing address
8230 SUMMA AVE STE C, BATON ROUGE, LA 70809-3421
(225) 757-0552
(225) 763-9997
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
021314
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1681148
—
LA
Enumeration date
01/13/2006
Last updated
04/14/2014
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