Individual
MELISSA BROOKS GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6535 N CHARLES ST STE 500, TOWSON, MD 21204-5832
(866) 953-3111
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(443) 471-8540
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04982
MD
363AS0400X
Surgical Physician Assistant
C04982
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
574107600
—
MD
01
—
C0004982
STATE LICENSE
MD
Enumeration date
02/07/2013
Last updated
05/28/2025
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