Individual
BRUNO DIGIOVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5333 MCAULEY DR RM 3111, YPSILANTI, MI 48197-1098
(734) 712-7688
(734) 712-7056
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
057916
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301057916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290H264420
BLUE CROSS-BLUE CROSS
—
05
—
345468910
—
MI
01
—
BD057916
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/01/2006
Last updated
11/02/2018
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