Individual
DR. JORJE JETTE GEISERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 CENTRAL AVE, GRANT, NE 69140-3016
(308) 352-4511
(308) 352-2278
Mailing address
PO BOX 310, GRANT, NE 69140-0310
(308) 352-4511
(308) 352-2278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9138
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470624653-00
—
NE
Enumeration date
08/05/2006
Last updated
07/08/2007
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