Individual
DR. GRANT H GEISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 554-8384
(813) 443-8160
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
036078239
IL
2086S0120X
Pediatric Surgery Physician
Primary
ME129728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019487300
—
FL
05
—
036078239
—
IL
01
—
1633575
BCBS PROVIDER ID
IL
01
—
37146364501
ADVOCATE HLTH PARTNERS ID
IL
Enumeration date
12/04/2007
Last updated
03/03/2017
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