Individual
MARY KATHLEEN BISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 ALBERT SABIN WAY, MSB 1551, M.L. 0769, CINCINNATI, OH 45267
(513) 558-8114
Mailing address
7120 N BLACKBURN RD, ATHENS, OH 45701-8782
(513) 846-4149
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.123233
OH
Other
Enumeration date
04/16/2010
Last updated
09/05/2018
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