| Bruce Lirones Do Professional Llc | |
|
9895 Rapid City Rd Nw Rapid City MI 49676-9506 | |
| (231) 331-4283 | |
| Not Available |
| Full Name | Bruce Lirones Do Professional Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9895 Rapid City Rd Nw, Rapid City, Michigan |
| Authorized Official Name and Position | Bruce Lirones (SOLE MEMBER) |
| Authorized Official Contact | 2313314283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Lirones Do Professional Llc 9895 Rapid City Rd Nw Rapid City MI 49676-9506 Ph: () - | Bruce Lirones Do Professional Llc 9895 Rapid City Rd Nw Rapid City MI 49676-9506 Ph: (231) 331-4283 |
| NPI Number | 1215250071 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215250071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101008200 (Michigan) | Primary |