Bruce D Dragoo Md Pc in Grand Rapids - Durable Medical Equipment & Medical Supplies

Bruce D Dragoo Md Pc - NPI 1952434292

Bruce D Dragoo Md Pc is a Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan. Bruce D Dragoo Md Pc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Bruce D Dragoo Md Pc is 1952434292. The last update date is 2008-04-20.

Bruce D Dragoo Md Pc's current location address is 1000 E Paris Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169573643 and fax number 6169570896. The mailing address for Bruce D Dragoo Md Pc is 1000 E Paris Ave Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bruce D Dragoo Md Pc
Address 1000 E Paris Ave Se, Grand Rapids, Michigan
Phone Number 6169573643
Fax Number 6169570896
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING
Authorized Official Name Larkin Lyn Freda
Telephone Number 6169573643

NPI Number Detail

NPI Number 1952434292
Provider Enumeration Date 2007-03-14
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 1000 E Paris Ave Se
City Grand Rapids
State Michigan (MI)
Post Code 495463691
Phone Number 6169573643
Fax Number 6169570896

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
Licence No 4301028716
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4301028716 MI STATE LICENSE NUMBER
1083311 MI --
BD028716 MI BC MI ID NUMBER

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FAQs about Bruce D Dragoo Md Pc

What is the unique identifier code issued to Bruce D Dragoo Md Pc by the Centers for Medicare & Medicaid Services?

The Bruce D Dragoo Md Pc has been assigned the NPI (National Provider Identifier) 1952434292. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Bruce D Dragoo Md Pc is physically located?

The Bruce D Dragoo Md Pc is situated at the following address: 1000 E Paris Ave Se, Grand Rapids, MI 495463691.

What is Bruce D Dragoo Md Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bruce D Dragoo Md Pc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.

When was the Bruce D Dragoo Md Pc's 1952434292 issued?

The Bruce D Dragoo Md Pc's 1952434292 was issued on 2007-03-14.

As of what date were the Bruce D Dragoo Md Pc's details last updated?

The information pertaining to the Bruce D Dragoo Md Pc, including its address, specialty, and other details, was most recently updated on 2008-04-20.

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