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Individual

PHILIP GERARD GIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3580 ARCADE ST, VADNAIS HEIGHTS, MN 55127-7135
(651) 968-5770
(651) 968-5775
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7192
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588632038
MN
01
650001854
MEDICARE PROVIDER NUMBER
MN
01
P00444223
RAILROAD MEDICARE
MN
Enumeration date
03/10/2006
Last updated
07/01/2015
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