Mary Jane Misischia D.O.

NPI 1003892084 - Internal Medicine - 207RH0003X

NPI Details
NPI 1003892084
Gender Female
Enumeration Date 12/21/2005
Last Updated 03/07/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
287 HEALTHWEST DR
DOTHAN AL, 36303-2031, US
Phone (334) 792-9500
Fax (334) 793-1815
Business Location
287 HEALTHWEST DR
DOTHAN AL, 36303-2031, US
Phone (334) 792-9500
Fax
Toxanomy
Taxonomy Code 207RH0003X
License State Wisconsin
License Number 57197-21
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According to our database, Dr. Mary Jane Misischia D.O. NPI is 1003892084, taxonomy code is 207RH0003X and license number is 57197-21, license state is located at Wisconsin. Mary Jane Misischia D.O. physically located at 287 Healthwest Dr, Dothan AL, 36303-2031. NPI Number Mary Jane Misischia D.O. has the Individual type.

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1003892084 NPI number is provided on an as is basis without warranty of any kind. 1003892084 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jane Misischia D.O. are for informational purposes only.