Individual
BRUCE DOUGLAS LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8020 DAVISON RD, DAVISON, MI 48423-2029
(810) 578-6901
Mailing address
9095 S SAGINAW, #17, GRAND BLANC, MI 48439
(810) 429-0911
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101008624
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3166342
—
MI
Enumeration date
07/03/2006
Last updated
02/08/2022
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