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Bruce C Leitkam, DO
General Practice Physician in Linden, Michigan
NPI 1922066356

Bruce C Leitkam is a General Practice Physician based in Linden, MI. Bruce C Leitkam practices in Linden, MI and has the professional credentials of DO. The NPI Number for Bruce C Leitkam is 1922066356 and holds a License No. 5101006591 (Michigan).

The current practice location address for Bruce C Leitkam 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, 48451-8768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922066356
Provider Name
Bruce C Leitkam
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
490 W Broad St, Linden, MI, 48451-8768
Phone Number
810-735-1231
Fax Number
810-735-1092
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4075401 01 MI AETNA
1552457 05 MI
M028466 01 MI TRICARE
015251061 01 MI BLUECROSS BLUE SHIELD OF
institution
Provider Business Practice Location Address Details
Address
490 W Broad St
City
Linden
State
Michigan
Zip
48451-8768
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
48451-8768
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.
5101006591 (Michigan)
Definition
Definition to come...
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