Provider Demographics
NPI:1902901788
Name:MISKIMMIN, RENEE LYNN (MD)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:LYNN
Last Name:MISKIMMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11 STANWIX ST
Mailing Address - Street 2:HEALTH AMERICA/ HEALTHASSURANCE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1312
Mailing Address - Country:US
Mailing Address - Phone:412-553-7576
Mailing Address - Fax:412-553-7537
Practice Address - Street 1:11 STANWIX ST
Practice Address - Street 2:HEALTH AMERICA/ HEALTHASSURANCE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1312
Practice Address - Country:US
Practice Address - Phone:412-553-7576
Practice Address - Fax:412-553-7537
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD060391L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine