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Dr. Bruce T Henderson, MD
Specialist in Pontiac, Michigan
NPI 1972562106

Bruce T Henderson is a Specialist based in Pontiac, MI. Bruce T Henderson practices in Pontiac, MI and has the professional credentials of MD. The NPI Number for Bruce T Henderson is 1972562106 and holds a License No. 039951 (Michigan).

The current practice location address for Bruce T Henderson is 44555 Woodward Ave, Pontiac, MI and can be reached out via phone at 248-334-0524 and via fax at 248-858-3887.

Location: 44555 Woodward Ave, Pontiac, MI, 48341-5031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972562106
Provider Name
Bruce T Henderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
44555 Woodward Ave, Pontiac, MI, 48341-5031
Phone Number
248-334-0524
Fax Number
248-858-3887
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0638406 01 MI BLUE CROSS/BLUE SHIELD
4513265 05 MI
institution
Provider Business Practice Location Address Details
Address
44555 Woodward Ave
City
Pontiac
State
Michigan
Zip
48341-5031
Phone Number
248-334-0524
Fax Number
248-858-3887
person
Provider Business Mailing Address Details
Address
44555 Woodward Ave
City
Pontiac
State
Michigan
Zip
48341-5031
Phone Number
248-334-0524
Fax Number
248-858-3887
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
039951 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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