Bethany Luanne Hissong

NPI #1568681385 in Cadillac, Michigan

Provider Information

NPI Number: 1568681385
Entity Type: Individual
Name: Bethany Luanne Hissong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 720 S MITCHELL ST
City: Cadillac
State: Michigan
ZIP Code: 49601-2512
Phone: (231) 775-3243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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