Individual
MIRANDA GEISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
41555 W TWELVE MILE RD, NOVI, MI 48377-3103
(248) 675-0800
(248) 675-0545
Mailing address
41555 W TWELVE MILE RD, NOVI, MI 48377-3103
(248) 675-0800
(248) 675-0545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18004356A
IN
152W00000X
Optometrist
Primary
49010056665
MI
Other
Enumeration date
08/05/2022
Last updated
06/16/2025
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