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Individual

GLENN M GIESSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 BOULDERS PKWY, SUITE 200, RICHMOND, VA 23225-5545
(804) 320-4243
(804) 622-0552
Mailing address
1000 BOULDERS PKWY, SUITE 102, RICHMOND, VA 23225-5545
(804) 320-4243
(804) 622-0552

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101031697
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101031697
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006069991
VA
01
006895400
BLACK LUNG
VA
01
021782
CIGNA
VA
01
188410
ANTHEM
VA
01
2061582
AETNA HMO
VA
01
290003783
MEDICARE RAILROAD
VA
01
30987
CARENET
VA
01
4800157
UNITED HEALTHCARE
VA
01
557151
AETNA NON-HMO
VA
01
59247
SOUTHERN HEALTH
VA
01
766609
MAMSI
VA
Enumeration date
07/09/2006
Last updated
05/19/2021
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