Organization
MARK S. GEISSLER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY M. KURIAN (BILLING MANAGER)
(906) 225-4510
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, SUITE 230, MARQUETTE, MI 49855-2675
(906) 225-3853
(906) 228-4065
Mailing address
1414 W FAIR AVE, SUITE 230, MARQUETTE, MI 49855-2675
(906) 225-3853
(906) 228-4065
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301061171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2405232590
BLUE CROSS BLUE SHIELD
—
05
—
2952097
—
MI
Enumeration date
03/06/2008
Last updated
03/06/2008
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