Provider Demographics
NPI:1134397466
Name:BRUCE, RUTH ANN (DO)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:BRUCE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:ANN
Other - Last Name:KEMPKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 MICHIGAN ST NE
Mailing Address - Street 2:MC 845
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1202 W OAK ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-2155
Practice Address - Country:US
Practice Address - Phone:616-754-2944
Practice Address - Fax:616-754-2999
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017584207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology