Individual
DR. BRUCE GEORGE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1500 S CENTERVILLE RD, STURGIS, MI 49091-8245
(269) 651-4523
Mailing address
335 W BARNHART RD, COLDWATER, MI 49036-9263
(517) 278-8248
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18002196
IN
152W00000X
Optometrist
Primary
4901002483
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1857781
—
MI
Enumeration date
01/10/2006
Last updated
07/02/2010
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