Individual
DR. ROBIN LEE BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
124 MILLER ST, GRANTSVILLE, MD 21536-1383
(240) 444-4219
(475) 277-4961
Mailing address
PO BOX 718, GRANTSVILLE, MD 21536-0718
(240) 444-4219
(475) 277-4961
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0034231
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287151300
—
MA
05
—
287151300
—
MD
01
—
521686633
COMMERCIAL
—
01
—
71816401
BS
MD
01
—
865494
UNITED HEALTH CARE
—
01
—
P13867
BCBS
MD
01
—
R1990001
BLUE CHOICE
MD
Enumeration date
07/12/2005
Last updated
09/06/2021
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