Samantha Marie Banser Bissen, DO
NPI #1245769249 in Grundy Center, Iowa
Provider Information
- NPI Number
- 1245769249
- Entity Type
- Individual
- Name
- Samantha Marie Banser Bissen, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Jun 5, 2017
- Last Updated
- Jun 4, 2021
Practice Location
- Address
- 101 E J AVE STE 120
- City
- Grundy Center
- State
- Iowa
- ZIP Code
- 50638-2004
- Phone
- (319) 824-6945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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Organizations
| Provider Name | |
|---|---|
| Charles J Latendresse |
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