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Organization

ROBIN BISSELL, M.D, LLC

Active
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Organization

ROBIN BISSELL, M.D, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN L. BISSELL M.D. (OWNER)
(301) 895-4270
Entity
Organization

Contact information

Practice address
124 MILLER ST, GRANTSVILLE, MD 21536-0718
(301) 895-4270
(301) 895-4277
Mailing address
124 MILLER ST, GRANTSVILLE, MD 21536-0718
(301) 895-4270
(301) 895-4277

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D0034231
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287151300
MD
Enumeration date
07/25/2006
Last updated
04/16/2013
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