Individual
DENNIS ALAN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 945-1212
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301079427
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310A710590
BCBS PIN
—
05
—
4615953
—
MI
05
—
4615962
—
MI
01
—
DD4837
MEDICARE RR PIN
—
Enumeration date
07/13/2006
Last updated
10/28/2019
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