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Individual

MR. BRUCE SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
507 1ST ST NW, AUSTIN, MN 55912-3019
(507) 433-4327
(507) 433-3277
Mailing address
927 RIDERS CLUB RD, ONALASKA, WI 54650-2041
(608) 783-7399
(608) 783-7398

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
080659
IA

Other

Enumeration date
05/27/2016
Last updated
05/27/2016
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