Individual
DR. CAROLYN P MISICK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(800) 627-7081
Mailing address
1249 KABLES MILL DR, BELLBROOK, OH 45305-8818
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
350760117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149740
—
OH
Enumeration date
06/17/2006
Last updated
08/20/2021
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