Individual
BRUCE CICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5333 MCAULEY DR, SUITE 5115, YPSILANTI, MI 48197-1014
(734) 712-2300
Mailing address
5301 E HURON RIVER DR, MC 69504, YPSILANTI, MI 48197-1051
(734) 827-8883
(734) 827-8915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BC404905
MI
Other
Enumeration date
07/19/2006
Last updated
05/05/2011
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