Individual
DR. MICHAEL EDWARD GEOGHEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22202 BEECH ST, DEARBORN, MI 48124-2704
(734) 276-8276
Mailing address
22202 BEECH ST, DEARBORN, MI 48124-2704
(734) 276-8276
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5315027979
MI
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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