Provider Demographics
NPI:1316213127
Name:BRUCE, JAMES CALEB (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CALEB
Last Name:BRUCE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:15855 19 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-3504
Mailing Address - Country:US
Mailing Address - Phone:586-263-2953
Mailing Address - Fax:586-263-2975
Practice Address - Street 1:15855 19 MILE RD
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038
Practice Address - Country:US
Practice Address - Phone:586-263-2953
Practice Address - Fax:586-263-2975
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOP60639315207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine