Individual
DR. BRUCE ANTHONY BORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15831 W 12 MILE RD, SOUTHFIELD, MI 48076-3011
(248) 559-6763
(248) 559-6774
Mailing address
15831 W 12 MILE RD, SOUTHFIELD, MI 48076-3011
(248) 559-6763
(248) 559-6774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005884
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F323050
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
07/13/2005
Last updated
09/17/2012
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