Individual
LANE GEISNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3234
Mailing address
1711 PATRICIA LN, WAUKESHA, WI 53188-2176
(262) 744-3942
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351056813
MI
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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