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Individual
MARJORIE S BISENIUS
Active
Individual
MARJORIE S BISENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
302
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024982500
—
NE
05
—
2543405
—
IA
Enumeration date
06/24/2006
Last updated
05/13/2014
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