Individual
DR. ROBERT MIXSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1844
(563) 421-4400
(563) 421-4449
Mailing address
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1844
(563) 421-4400
(563) 421-4449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35712
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422550
—
IA
Enumeration date
05/17/2006
Last updated
08/23/2021
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