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Individual

DR. BENJAMIN T. BISSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
575 SIOUX POINT ROAD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
575 SIOUX POINT ROAD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25765
NE
207X00000X
Orthopaedic Surgery Physician
41240
IA
207X00000X
Orthopaedic Surgery Physician
Primary
8925
SD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25765
NE

Other

Enumeration date
01/10/2007
Last updated
11/15/2013
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