Individual
MARISSA NICOLE MEISSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822
(570) 275-5555
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 275-5555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q7236
TX
207RR0500X
Rheumatology Physician
Primary
MD465464
PA
207RR0500X
Rheumatology Physician
Q7236
TX
Other
Enumeration date
04/28/2011
Last updated
08/31/2020
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