Individual
GRANT SCOTT GEISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3210
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011000
IL
363A00000X
Physician Assistant
5894-23
WI
Other
Enumeration date
03/14/2022
Last updated
06/23/2025
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