Organization
BRUCE E WEST MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE E WEST MD (OWNER)
(248) 352-8970
Entity
Organization
Contact information
Practice address
27177 LAHSER RD, STE 100, SOUTHFIELD, MI 48034-4714
(248) 352-8970
Mailing address
27177 LAHSER RD, STE 100, SOUTHFIELD, MI 48034-4714
(248) 352-8970
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301051847
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0633945
BCBS
—
01
—
4260074
AETNA
—
05
—
435211910
—
MI
Enumeration date
04/30/2008
Last updated
09/03/2008
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