Individual
BLAKEN GEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SUSAN DR, JOHNSTOWN, PA 15905-2826
(814) 255-1963
Mailing address
621 COVERED BRIDGE RD, JOHNSTOWN, PA 15905-8300
(814) 242-6171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066487
PA
Other
Enumeration date
05/22/2016
Last updated
08/05/2025
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