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Individual

DR. BRUCE WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(517) 545-5944
(517) 545-7390
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(517) 545-5944
(517) 545-7390

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301063906
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103234489
MI
Enumeration date
08/02/2006
Last updated
02/15/2012
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