Individual
MICHAEL ROBERT GIESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-5447
(859) 301-4934
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-5449
(859) 301-4934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24446
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155519
—
OH
05
—
64244460
—
KY
Enumeration date
04/25/2006
Last updated
01/09/2024
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