Most Relevant Information
Provider Data
| NPI Number: | 1003319344 |
| Provider Name: | GEORGE BRUCE MINOR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/13/2018 |
| Last Updated: | 03/13/2018 |
Provider Practice Location
271 S MAIN ST
PLYMOUTH
MI
481701637
Practice Location Phone/Fax
| Phone: | 7344954055 |
| Fax: |
Provider Mailing Location
271 S MAIN ST
PLYMOUTH
MI
481701637
Provider Mailing Phone/Fax
| Phone: | 7344954055 |
| Fax: |