MRS. Marianne Dolores Mckissick, PAC

NPI #1710154521 in Marysville, Michigan

Provider Information

NPI Number: 1710154521
Entity Type: Individual
Name: MRS. Marianne Dolores Mckissick, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: May 12, 2008
Last Updated: Oct 8, 2013

Practice Location

Address: 3350 GRATIOT BLVD
City: Marysville
State: Michigan
ZIP Code: 48040-2121
Phone: (810) 364-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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