Stewart, Bruce Andrew

Stewart, Bruce Andrew is an individual health care provider with primary practice located at 370 N 120Th Ave , Holland MI 49424. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Stewart, Bruce Andrew can be contacted via phone (616) 396-5855.

Contact Information

Primary practice address
370 N 120Th Ave Holland MI 49424
Phone: (616) 396-5855
Fax: (616) 396-5720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M9678 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 4301093528 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301093528 Michigan

Profile Details

NPI number 1073768917
LBN Legal business name Stewart, Bruce Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2008
Last updated May 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073768917 NPPES
Other BS093528 BLUE CROSS BLUE SHIELD
MEDICAID 1073768917 BLUE CROSS BLUE SHIELD

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