Individual
DR. CYNTHIA L GEOCARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8250
(920) 288-8255
Mailing address
100 THEDA CLARK MEDICAL PLZ, STE 400, NEENAH, WI 54956-2763
(920) 725-4527
(920) 405-5388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38001
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33330000
—
WI
Enumeration date
05/27/2005
Last updated
01/31/2019
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