Individual
MATTHEW GIEGENGACK
Active
Individual
MATTHEW GIEGENGACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2007-01271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437167350
—
VA
01
—
146GE
BCBS
—
01
—
202031
MEDCOST
—
05
—
3810010056
—
WV
05
—
5907662
—
NC
01
—
7387814
AETNA
—
01
—
810583
PARTNERS
—
05
—
Q0127B
—
SC
Enumeration date
08/04/2006
Last updated
08/23/2010
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