Individual
MICHAEL L GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10416 5TH AVE NE, SEATTLE, WA 98125
(206) 517-6700
Mailing address
10416 5TH AVE NE, SEATTLE, WA 98125-7402
(206) 517-6700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00004085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD00004085
MEDICAL LICENSE
WA
Enumeration date
09/26/2007
Last updated
05/18/2021
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