| Robin Bissell, M.d, Llc | |
|
124 Miller St Grantsville MD 21536-0718 | |
| (301) 895-4270 | |
| (301) 895-4277 |
| Full Name | Robin Bissell, M.d, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 124 Miller St, Grantsville, Maryland |
| Authorized Official Name and Position | Robin L. Bissell (OWNER) |
| Authorized Official Contact | 3018954270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Bissell, M.d, Llc 124 Miller St Grantsville MD 21536-0718 Ph: (301) 895-4270 | Robin Bissell, M.d, Llc 124 Miller St Grantsville MD 21536-0718 Ph: (301) 895-4270 |
| NPI Number | 1467475145 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467475145 | NPI | - | NPPES |
| 287151300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D0034231 (Maryland) | Primary |
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