Individual
BRUCE E. FISCHBACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
414 E CLARK ST, VERMILLION, SD 57069-2307
(605) 677-5960
(605) 677-5467
Mailing address
414 E CLARK ST, VERMILLION, SD 57069-2307
(605) 677-5960
(605) 677-5467
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
017
SD
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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