Organization
STRUCTURE & FUNCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO ALBERT GEISEMAN IV D.C (CHIROPRACTOR)
(248) 497-1034
Entity
Organization
Contact information
Practice address
595 FOREST AVE, SUITE- 7B, PLYMOUTH, MI 48170-1775
(734) 335-3635
(734) 212-2270
Mailing address
595 FOREST AVE, SUITE- 7B, PLYMOUTH, MI 48170-1775
(734) 335-3635
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010368
MI
Other
Enumeration date
04/14/2016
Last updated
05/31/2016
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