Individual
DR. BRUCE ALAN BYLSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1815 BRETON RD SE, GRAND RAPIDS, MI 49506-4800
(616) 977-0379
(616) 977-0379
Mailing address
4743 E MEADOWS DR SE, GRAND RAPIDS, MI 49546-6294
(616) 977-0379
(616) 977-0379
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1601000300
MI
237700000X
Hearing Instrument Specialist
Primary
3501002046
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382761821051
—
MI
01
—
540D10455
BLUE CROSS BLUE SHIELD
MI
01
—
640D12606
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/04/2007
Last updated
09/11/2025
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