Individual
MR. MICHAEL ALEXANDER GEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1605 LAKES PKWY, LAWRENCEVILLE, GA 30043-5858
(904) 819-4478
(904) 819-4993
Mailing address
1605 LAKES PKWY, LAWRENCEVILLE, GA 30043-5858
(904) 819-4478
(904) 819-4993
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3149492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260604600
—
FL
01
—
430040492
RAILROAD MEDICARE
FL
01
—
G2243
BLUECROSS/BLUESHIELD
FL
Enumeration date
11/05/2005
Last updated
07/08/2007
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