Individual
DR. BRUCE DONALD MISARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, RPH
Contact information
Practice address
907 MESSARA DR, FORT COLLINS, CO 80524-6074
(970) 482-2476
Mailing address
907 MESSARA DR, FORT COLLINS, CO 80524-6074
(970) 482-2476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11674
CO
2086S0129X
Vascular Surgery Physician
Primary
66343-220
WI
Other
Enumeration date
10/07/2005
Last updated
12/10/2017
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