Individual
DR. DONALD A. MISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 PINE ST, SUITE 213, BOULDER, CO 80302-4809
(847) 624-1434
Mailing address
1240 PINE ST, SUITE 213, BOULDER, CO 80302-4809
(847) 624-1434
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-059603
IL
Other
Enumeration date
03/29/2007
Last updated
06/12/2016
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