Bradley J Tissier is a Surgery in Ofallon, Illinois. Bradley J Tissier practices all healthcare services and medical treatments related to Surgery. The NPI Number for Bradley J Tissier is 1871673491. The last update date is 2007-07-08.
Bradley J Tissier's current location address is 1512 N Greenmount Rd, Ofallon, Illinois. You can contact this provider via phone number 6186281717 and fax number 6186281789. The mailing address for Bradley J Tissier is 1512 N Greenmount Rd, Ofallon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley J Tissier |
|---|---|
| Address | 1512 N Greenmount Rd, Ofallon, Illinois |
| Phone Number | 6186281717 |
| Fax Number | 6186281789 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871673491 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1512 N Greenmount Rd |
|---|---|
| City | Ofallon |
| State | Illinois (IL) |
| Post Code | 622691953 |
| Phone Number | 6186281717 |
| Fax Number | 6186281789 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8222484 | IL | BCBS |
Post Comment/ Review Below
What is the Bradley J Tissier's 1871673491?
The Bradley J Tissier's NPI (National Provider Identifier) Number is 1871673491. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bradley J Tissier?
The Bradley J Tissier is situated at 1512 N Greenmount Rd, in the city of Ofallon, state of IL, with the zip code 622691953.
What is Bradley J Tissier's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bradley J Tissier is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
When was the Bradley J Tissier's 1871673491 issued?
The Bradley J Tissier's 1871673491 was issued on 2006-10-17.
As of what date were the details related to Bradley J Tissier most recently updated or revised?
The information pertaining to Bradley J Tissier, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1982607784
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