Individual
DR. MICHAEL BRUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
731 NE LAKEWOOD BLVD, LEES SUMMIT, MO 64064-1353
(816) 373-3373
Mailing address
6701 E 134TH TER, GRANDVIEW, MO 64030-3239
(816) 547-9895
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2016015738
MO
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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