Bruce Devere Serven in Flint - Sports Physician
Bruce Devere Serven - NPI 1932120169
Bruce Devere Serven is a Sports Physician in Flint, Michigan. Bruce Devere Serven practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Bruce Devere Serven is 1932120169. The last update date is 2011-09-08.
Bruce Devere Serven's current location address is G4010 W Court St, Flint, Michigan. You can contact this provider via phone number 8107322210 and fax number 8102300158. The mailing address for Bruce Devere Serven is G4010 W Court St, Flint, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Devere Serven |
|---|---|
| Address | G4010 W Court St, Flint, Michigan |
| Phone Number | 8107322210 |
| Fax Number | 8102300158 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1932120169 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2011-09-08 |
Provider Mailing Address Detail
| Address | G4010 W Court St |
|---|---|
| City | Flint |
| State | Michigan (MI) |
| Post Code | 485323518 |
| Phone Number | 8107322210 |
| Fax Number | 8102300158 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 2301005078 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2590087 | MI | -- |
Post Comment/ Review Below
What is the Bruce Devere Serven's 1932120169?
The Bruce Devere Serven's NPI (National Provider Identifier) Number is 1932120169. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bruce Devere Serven is located?
The Bruce Devere Serven is situated at the following address: G4010 W Court St, Flint, MI, 485323518.
What is the Bruce Devere Serven's specialty and taxonomy code?
The Bruce Devere Serven's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932120169 to Bruce Devere Serven?
The Centers for Medicare & Medicaid Services assigned the 1932120169 to Bruce Devere Serven on 2006-07-22.
When was the information pertaining to Bruce Devere Serven most recently updated or revised?
The details related to Bruce Devere Serven, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-08.
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