Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Evan David Tyson Bruce, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003651068

Dr. Evan David Tyson Bruce, MD is a Student in an Organized Health Care Education/Training Program in Lansing, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone: (517) 364-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351053702 (MI)

Record details

NPI number1003651068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJune 30, 2024
Mailing address5228 Madison Ave Apt C7, Okemos, MI 48864-1190

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