Doctor Name: | DR. ROBIN LEE BISSELL |
NPI Number: | 1033117221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | D0034231 |
Business Practice Address: | 124 Miller St Grantsville, MO - 21536 |
Business Phone Number: | 3018954270 |
Business Fax Number: | 3018954277 |
Mailing Address: | 124 Miller Street, P.o. Box 718 GRANTSVILLE |
State: | MD |
Postal Code: | 215360718 |
Phone Number: | 3018954270 |
Fax Number: | 3018954277 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0034231 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |