| Bruce C Leitkam Do Pc | |
|
490 W Broad St Linden MI 48451-8862 | |
| (810) 735-1231 | |
| (810) 735-1092 |
| Full Name | Bruce C Leitkam Do Pc |
|---|---|
| Speciality | General Practice |
| Location | 490 W Broad St, Linden, Michigan |
| Authorized Official Name and Position | Bruce Calvin Leitkam (OWNE) |
| Authorized Official Contact | 8107351231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce C Leitkam Do Pc 490 W Broad St Po Box 605 Linden MI 48451-8862 Ph: (810) 735-1231 | Bruce C Leitkam Do Pc 490 W Broad St Linden MI 48451-8862 Ph: (810) 735-1231 |
| NPI Number | 1417268764 |
|---|---|
| Provider Enumeration Date | 07/01/2010 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417268764 | NPI | - | NPPES |
| 1552457 | Medicaid | MI | |
| 5251061 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | BL006591 (Michigan) | Primary |
Therapy Support Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5385 Deer Trl, Linden, MI 48451 Phone: 810-299-1052 |