Individual
DR. JEREMY WADE VAN GIESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11216 SUNRISE BLVD E, # 3-106, PUYALLUP, WA 98374-8848
(253) 848-5951
(253) 845-7073
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60200199
WA
Other
Enumeration date
05/18/2007
Last updated
01/25/2016
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