Individual
DR. KARISSA MARIE MISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 ROCKEFELLER DR, REHABILITATION UNIT, MUSKOGEE, OK 74401-5075
(918) 684-2522
(918) 684-2493
Mailing address
1216 E KENOSHA ST, PMB 326, BROKEN ARROW, OK 74012-2007
(918) 615-6581
(918) 893-1242
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4643
OK
208M00000X
Hospitalist Physician
Primary
4643
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200215510A
—
OK
Enumeration date
01/22/2007
Last updated
12/22/2014
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