Individual
BRUCE GORDON COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13251 E 10 MILE RD, WARREN, MI 48089-2076
(586) 759-7276
Mailing address
13251 E 10 MILE RD, WARREN, MI 48089-2076
(586) 759-7276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501000395
MI
Other
Enumeration date
09/23/2018
Last updated
04/05/2021
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