Individual
MARY GEISENHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 240-2208
Mailing address
1815 PERENNIAL LN NE, SAUK RAPIDS, MN 56379-4565
(320) 333-8489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2473813
MN
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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