Individual
JEFFREY BISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15418 MAIN ST, SUITE 200, MILL CREEK, WA 98012-9030
(425) 225-8002
(425) 225-8021
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28595
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016827
—
WA
Enumeration date
04/14/2006
Last updated
07/01/2014
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