Dall, Bruce E

Dall, Bruce E is an individual health care provider with primary practice located at 1541 Gull Rd Suite 200, Kalamazoo MI 49048-1639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dall, Bruce E can be contacted via phone (269) 343-1264.

Contact Information

Primary practice address
1541 Gull Rd Suite 200 Kalamazoo MI 49048-1639
Fax: (269) 343-9555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301042369 Michigan

Profile Details

NPI number 1225018591
LBN Legal business name Dall, Bruce E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225018591 NPPES
Michigan MEDICAID 4716750

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