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Individual
THOMAS F GIESECKE
Active
Individual
THOMAS F GIESECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176378
LABOR AND INDUSTRY
WA
05
—
1005438
—
WA
01
—
MD00023088
STATE LICENSE NUMBER
WA
01
—
P00187171
RAILROAD MEDICARE
WA
Enumeration date
06/06/2006
Last updated
01/11/2008
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