Individual
BRUCE DAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-5461
Mailing address
8691 N SHARON RD SE, FIFE LAKE, MI 49633-8099
(517) 525-3687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704227388
MI
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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