Individual
MR. DANIEL B. GISSLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301087701
MI
208000000X
Pediatrics Physician
7851
SD
Other
Enumeration date
03/15/2007
Last updated
11/27/2012
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