Bruce C Leitkam in Linden - General Practice
Bruce C Leitkam - NPI 1922066356
Bruce C Leitkam is a General Practice in Linden, Michigan. Bruce C Leitkam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce C Leitkam is 1922066356. The last update date is 2010-01-22.
Bruce C Leitkam's current location address is 490 W Broad St, Linden, Michigan. You can contact this provider via phone number 8107351231 and fax number 8107351092. The mailing address for Bruce C Leitkam is 490 W Broad St, Linden, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce C Leitkam |
|---|---|
| Address | 490 W Broad St, Linden, Michigan |
| Phone Number | 8107351231 |
| Fax Number | 8107351092 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1922066356 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2010-01-22 |
Provider Mailing Address Detail
| Address | 490 W Broad St |
|---|---|
| City | Linden |
| State | Michigan (MI) |
| Post Code | 484518768 |
| Phone Number | 8107351231 |
| Fax Number | 8107351092 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 5101006591 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4075401 | MI | AETNA | |
| 1552457 | MI | -- | |
| M028466 | MI | TRICARE | |
| 15251061 | MI | BLUECROSS BLUE SHIELD OF |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bruce C Leitkam by the Centers for Medicare & Medicaid Services?
The Bruce C Leitkam has been assigned the NPI (National Provider Identifier) 1922066356 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bruce C Leitkam's facilities are situated?
The facilities of Bruce C Leitkam are physically located at the following address: 490 W Broad St, Linden, MI, 484518768.
What is the Bruce C Leitkam's specialty and taxonomy code?
The Bruce C Leitkam's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
When was the Bruce C Leitkam's 1922066356 issued?
The Bruce C Leitkam's 1922066356 was issued on 2006-05-03.
When was the information related to Bruce C Leitkam most recently updated or refreshed?
The details pertaining to the Bruce C Leitkam, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-22.