Individual
MR. JOHN STANLEY MISHASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
2415 N UNION BLVD, COLORADO SPRINGS, CO 80909-1107
(719) 632-4275
(719) 471-0760
Mailing address
2415 N UNION BLVD, COLORADO SPRINGS, CO 80909-1107
(719) 632-4275
(719) 471-0760
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08002982
—
CO
Enumeration date
12/04/2006
Last updated
07/09/2007
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