DR. Robert Alan Mckissick, M.D.

NPI #1699771949 in Logansport, Indiana

Provider Information

NPI Number: 1699771949
Entity Type: Individual
Name: DR. Robert Alan Mckissick, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 22, 2005
Last Updated: Aug 3, 2011

Practice Location

Address: 1201 MICHIGAN AVE
Address 2: SUITE 270
City: Logansport
State: Indiana
ZIP Code: 46947-1580
Phone: (574) 722-4921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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