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Individual
DR. BENJAMIN T. BISSELL
Active
Individual
DR. BENJAMIN T. BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25765
NE
207X00000X
Orthopaedic Surgery Physician
41240
IA
207X00000X
Orthopaedic Surgery Physician
Primary
8925
SD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25765
NE
Other
Enumeration date
01/10/2007
Last updated
11/15/2013
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