Individual
MARINA MONTSERRAT MCKISSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2251 NORTH SHORE DR, RHINELANDER, WI 54501
(715) 361-2000
Mailing address
2251 N SHORE DR, RHINELANDER, WI 54501-6710
(715) 361-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1827-023
WI
Other
Enumeration date
07/04/2006
Last updated
03/31/2021
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