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Bruce D Dragoo Md Pc
Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan
NPI 1952434292

Bruce D Dragoo Md Pc is a Durable Medical Equipment & Medical Supplies based in Grand Rapids, MI. Bruce D Dragoo Md Pc practices in Grand Rapids, MI. The NPI Number for Bruce D Dragoo Md Pc is 1952434292 and holds a License No. 4301028716 (Michigan).

The current practice location address for Bruce D Dragoo Md Pc is 1000 E Paris Ave Se, Grand Rapids, MI and can be reached out via phone at 616-957-3643 and via fax at 616-957-0896.

Location: 1000 E Paris Ave Se, Grand Rapids, MI, 49546-3691
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952434292
Provider Name
Bruce D Dragoo Md Pc
Credential
Provider Entity Type
Organization
Address
1000 E Paris Ave Se, Grand Rapids, MI, 49546-3691
Phone Number
616-957-3643
Fax Number
616-957-0896
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301028716 01 MI STATE LICENSE NUMBER
1083311 05 MI
BD028716 01 MI BC MI ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1000 E Paris Ave Se
City
Grand Rapids
State
Michigan
Zip
49546-3691
Phone Number
616-957-3643
Fax Number
616-957-0896
person
Provider Business Mailing Address Details
Address
1000 E Paris Ave Se
City
Grand Rapids
State
Michigan
Zip
49546-3691
Phone Number
616-957-3643
Fax Number
616-957-0896
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
4301028716 (Michigan)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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