Individual
ERIC GEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 LAFAYETTE AVE SE STE 415, GRAND RAPIDS, MI 49503-4693
(616) 685-5666
(616) 685-8969
Mailing address
121 SAINT MICHAELS CT, APT#2, DALY CITY, CA 94015-2100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00027008
AL
207R00000X
Internal Medicine Physician
A96549
CA
207RP1001X
Pulmonary Disease Physician
Primary
9999999
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11545657
CAQH
—
01
—
1316007503
NPI
—
Enumeration date
12/11/2006
Last updated
12/14/2023
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