Individual
MR. WILLIAM EDWIN GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 BROOKINGS DR, BOX 1201, SAINT LOUIS, MO 63130-4862
(314) 935-6666
Mailing address
10837 LEEBUR DR, SAINT LOUIS, MO 63128-1532
(314) 849-0368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102319
MO
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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