Individual
JOSEPH R MISSON
Active
Individual
JOSEPH R MISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35087601
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35087601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389541
ANTHEM
—
05
—
2660919
—
OH
Enumeration date
01/16/2006
Last updated
04/05/2010
Update your record
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