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Organization
SENIOR DOC, MINNESOTA PC
Active
Organization
SENIOR DOC, MINNESOTA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARK GEISS DO (CHIEF EXECUTIVE OFFICER)
(855) 434-7763
Entity
Organization
Contact information
Practice address
2592 N SANTIAGO BLVD, ORANGE, CA 92867-1862
(855) 434-7763
(949) 281-5550
Mailing address
2592 N SANTIAGO BLVD, ORANGE, CA 92867-1862
(855) 434-7763
(949) 281-5550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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