Individual
DR. ALLEN THOMAS BRUCE
Active
Individual
DR. ALLEN THOMAS BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
018852
ME
207N00000X
Dermatology Physician
4301083648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315017780
CONTROLLED SUBSTANCE LICE
MI
Enumeration date
03/22/2007
Last updated
12/07/2011
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