Search › Michigan › 103T00000X
Bruce Douglass, PHD
NPI 1285725424 · on the registry since 2006
Practice
- Address
- 934 S Garfield Ave Ste C
Traverse City, MI 49686 - Phone
- (231) 946-4419
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan