Individual
MR. DONALD RAYMOND KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1001 PIKE ST, SUITE 3, MARIETTA, OH 45750-3515
(740) 376-0060
(740) 376-0062
Mailing address
1001 PIKE ST, SUITE 3, MARIETTA, OH 45750-3515
(740) 376-0060
(740) 376-0062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-006053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041820-000
—
WV
05
—
0898622
—
OH
Enumeration date
03/01/2007
Last updated
07/08/2007
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