Individual
DR. BRUCE MICHAEL MASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 N MAYFAIR RD, MILWAUKEE, WI 53226-1309
(414) 266-4488
Mailing address
2600 N MAYFAIR RD, MILWAUKEE, WI 53226-1309
(414) 266-4488
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
24575-20
WI
Other
Enumeration date
12/19/2006
Last updated
06/17/2020
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