Individual
LOGAN GIESIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA, CSFA
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1900
(840) 285-2011
Mailing address
301 KARL LINN DR APT 101, NORTH CHESTERFIELD, VA 23225-6973
(419) 279-0633
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000941
VA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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