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Individual

KAREN M GISSLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1989 MIAMISBURG CENTERVILLE RD, SUITE 204, CENTERVILLE, OH 45459-3859
(937) 401-6822
(937) 401-6935
Mailing address
1989 MIAMISBURG CENTERVILLE RD, SUITE 204, MIAMISBURG, OH 45342-3794
(937) 401-6822
(937) 401-6935

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
COA06897NM
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000947087
ANTHEM
OH
05
0139677
OH
Enumeration date
07/28/2015
Last updated
04/06/2022
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