Individual
DR. BRUCE H KOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 402, SOUTHFIELD, MI 48075-4825
(248) 559-3150
(248) 559-8218
Mailing address
22250 PROVIDENCE DR, SUITE 402, SOUTHFIELD, MI 48075
(248) 559-3150
(248) 559-8218
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
BK027608
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1059871
—
MI
Enumeration date
06/21/2006
Last updated
07/08/2007
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