person
Dr. Bruce Anthony Born, DC
Chiropractor in Southfield, Michigan
NPI 1649278490

Bruce Anthony Born is a Chiropractor based in Southfield, MI. Bruce Anthony Born practices in Southfield, MI and has the professional credentials of DC. The NPI Number for Bruce Anthony Born is 1649278490 and holds a License No. 2301005884 (Michigan).

The current practice location address for Bruce Anthony Born is 15831 W 12 Mile Rd, Southfield, MI and can be reached out via phone at 248-559-6763 and via fax at 248-559-6774. You can also correspond with Bruce Anthony Born through the mailing address at 15831 W 12 MILE RD, SOUTHFIELD, MI - 48076-3011 (mailing address contact number: 248-559-6763).

Location: 15831 W 12 Mile Rd, Southfield, MI, 48076-3011
person
Provider Profile Details
NPI Number
1649278490
Provider Name
Bruce Anthony Born
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
15831 W 12 Mile Rd, Southfield, MI, 48076-3011
Phone Number
248-559-6763
Fax Number
248-559-6774
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
950F323050 01 MI BLUE CROSS BLUE SHIELD MI
institution
Provider Business Practice Location Address Details
Address
15831 W 12 Mile Rd
City
State
Zip
48076-3011
Phone Number
248-559-6763
Fax Number
248-559-6774
person
Provider Business Mailing Address Details
Address
15831 W 12 Mile Rd
City
State
Zip
48076-3011
Phone Number
248-559-6763
Fax Number
248-559-6774
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
2301005884 (Michigan)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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