Individual
MARK S BISSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5880 UNIVERSITY AVE STE 102, WEST DES MOINES, IA 50266-8209
(515) 633-3600
(515) 288-0840
Mailing address
PO BOX 9170, DES MOINES, IA 50306-9170
(515) 633-3600
(515) 633-3838
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
02787
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110136970
RAILROAD MEDICARE
IA
05
—
2098491
—
IA
Enumeration date
11/14/2005
Last updated
06/14/2020
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