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Bruce C Leitkam Do Pc
General Practice Physician in Linden, Michigan
NPI 1417268764

Bruce C Leitkam Do Pc is a General Practice Physician based in Linden, MI. Bruce C Leitkam Do Pc practices in Linden, MI. The NPI Number for Bruce C Leitkam Do Pc is 1417268764 and holds a License No. BL006591 (Michigan).

The current practice location address for Bruce C Leitkam Do Pc is 490 W Broad St, Linden, MI and can be reached out via phone at 810-735-1231 and via fax at 810-735-1092.

Location: 490 W Broad St, Linden, MI, 48451-8862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417268764
Provider Name
Bruce C Leitkam Do Pc
Credential
Provider Entity Type
Organization
Address
490 W Broad St, Linden, MI, 48451-8862
Phone Number
810-735-1231
Fax Number
810-735-1092
Provider Enumeration Date
07/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1552457 05 MI
5251061 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
490 W Broad St
City
Linden
State
Michigan
Zip
48451-8862
Phone Number
810-735-1231
Fax Number
810-735-1092
person
Provider Business Mailing Address Details
Address
490 W Broad St
City
Linden
State
Michigan
Zip
48451-8862
Phone Number
810-735-1231
Fax Number
810-735-1092
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
BL006591 (Michigan)
Definition
Definition to come...
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