BRUCE C LEITKAM DO PC
Osteopathic Medicine at Broad St, Linden, MI

License number
Michigan BL006591
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. BRUCE CALVIN LEITKAM DO
Title: OWNE
Phone: (810) 735-1231
Address
Address
490 W Broad St, Linden, MI 48451
National Provider ID: 1417268764
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRUCE C. LEITKAM, D.O., PC

Linden, MI

Registration:
Jul 5, 1984
Addresses:
490 W Broad St, Linden, MI 48451 (Physical)
PO Box 605, Linden, MI 48451 (Mailing)
State ID:
204256
Business type:
Domestic Professional Service Corporation
Agent:
Bruce C. Leitkam

Osteopathic Medicine licenses in Michigan

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