Individual
DR. BRUCE E FORYSTEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BUILDING 0221, CEDAR FALLS, IA 50614-0221
(319) 273-2009
(319) 273-7030
Mailing address
BUILDING 0221, CEDAR FALLS, IA 50614-0221
(319) 273-2009
(319) 273-7030
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
23122
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197566
—
IA
Enumeration date
01/24/2006
Last updated
07/09/2007
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