Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE R WYMORE, MD
ActiveFamily Medicine · ALEXANDRIA, MN
Registration Details
- NPI Number
- 1285614149
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2006 (20.255028817299 yrs)
- Last Updated
- Aug 9, 2013
- License
-
36058 (MN)
Practice Information
- Address
-
610 30TH AVE WESTALEXANDRIA CLINICALEXANDRIA, MN, 56308Browse MN providers · Browse ZIP 56308
- Phone
- 3207635123
- Fax
- 3207637883
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ALEXANDRIA, MN
| Name | Credential | NPI |
|---|---|---|
| AARON J CROWSER | MD | 1922098425 |
| GEORGE F ERHARD | MD | 1912987868 |
| STEVEN M LONGBOTHAM | MD | 1629058581 |
| MICHAEL L BRISTOW | DO | 1134109648 |
| SCOTT T HEGSTAD | MD | 1730169251 |
| ANTHONY P LUSSENHOP | MD | 1669452074 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.