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Individual

DR. JEFFREY A GIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-0136
Mailing address
PO BOX 4777, BLOOMINGTON, IN 47402-4777
(812) 336-1690
(812) 349-1311

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200000801
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1264G
DR. GIESE'S BCBS OF NC #
NC
05
891264G
NC
Enumeration date
05/24/2005
Last updated
02/16/2010
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