Individual
BRUCE J. FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NEUROLOGY, MSC 10 5620 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-3342
Mailing address
933 BRADBURY DR SE, 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3342
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD2007-0537
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190175
—
LA
05
—
26025728
—
NM
Enumeration date
07/24/2006
Last updated
06/18/2012
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