BRUCE L LARVA

SAINT JOSEPH, MI
NPI1720398563
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: MI  4301038611)
Enumeration Date2010-10-14
Last Update Date2010-10-14
Business Address
Dr. BRUCE L LARVA M.D.
3434 CELINA AVE
SAINT JOSEPH, MI 49085-3711
Phone number: 269-429-7225
Mailing Address
Dr. BRUCE L LARVA M.D.
1901 NILES AVE SUITE 101
SAINT JOSEPH, MI 49085-1615
Phone number: 269-983-0929
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