Marianne Dolores Mckissick in Marysville - Physician Assistant
Marianne Dolores Mckissick - NPI 1710154521
Marianne Dolores Mckissick is a Physician Assistant in Marysville, Michigan. Marianne Dolores Mckissick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marianne Dolores Mckissick is 1710154521. The last update date is 2013-10-08.
Marianne Dolores Mckissick's current location address is 3350 Gratiot Blvd, Marysville, Michigan. You can contact this provider via phone number 8103644000 and fax number 8103645995. The mailing address for Marianne Dolores Mckissick is 3350 Gratiot Blvd, Marysville, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marianne Dolores Mckissick |
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Address | 3350 Gratiot Blvd, Marysville, Michigan |
Phone Number | 8103644000 |
Fax Number | 8103645995 |
Sole Proprietor | N |
Credentials | PAC |
NPI Number Detail
NPI Number | 1710154521 |
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Provider Enumeration Date | 2008-05-12 |
Last Updated Date | 2013-10-08 |
Provider Mailing Address Detail
Address | 3350 Gratiot Blvd |
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City | Marysville |
State | Michigan (MI) |
Post Code | 480402121 |
Phone Number | 8103644000 |
Fax Number | 8103645995 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 5601003532 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique provider identifier assigned to Marianne Dolores Mckissick?
The Marianne Dolores Mckissick has been issued the NPI (National Provider Identifier) 1710154521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Marianne Dolores Mckissick is physically located?
The Marianne Dolores Mckissick is situated at the following address: 3350 Gratiot Blvd, Marysville, MI 480402121.
What is Marianne Dolores Mckissick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marianne Dolores Mckissick's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Marianne Dolores Mckissick receive its 1710154521 assignment?
The Marianne Dolores Mckissick was assigned its 1710154521 on 2008-05-12, which is the date when this unique identifier was issued to the organization.
When was the Marianne Dolores Mckissick's information last updated?
The Marianne Dolores Mckissick's information was last updated on 2013-10-08.
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