Individual
ANGELA GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3000
Mailing address
2335 STOCKTON BLVD FL 5, SACRAMENTO, CA 95817-2201
(916) 734-2028
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A189817
CA
208600000X
Surgery Physician
R75829
AZ
2086S0129X
Vascular Surgery Physician
036.154827
IL
2086S0129X
Vascular Surgery Physician
Primary
A189817
CA
Other
Enumeration date
06/14/2016
Last updated
08/07/2024
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