Individual
DR. MICHAEL G BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, ROOM N337 DOAN HALL, COLUMBUS, OH 43210-1240
(614) 293-5617
Mailing address
7600 DEER PARK WAY, REYNOLDSBURG, OH 43068-9708
(614) 751-8141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-07-3802-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2164125
—
OH
Enumeration date
06/15/2006
Last updated
07/08/2007
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