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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.

Location: 15831 W 12 Mile Rd, Southfield, MI, 48076-3011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Southfield
State
Michigan
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
Southfield
State
Michigan
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
111N00000X
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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