Individual
JEREMY M GEIDUSCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4500 SAND POINT WAY NE, #100, SEATTLE, WA 98105-3900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD00021726
WA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD00021726
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6126
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8116048
—
WA
Enumeration date
10/13/2006
Last updated
02/05/2009
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