Individual
MRS. MICHELLE LOUISE GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 LONGWOOD AVE, FARMVILLE, VA 23901-1524
(434) 392-6101
(434) 392-1003
Mailing address
400 LONGWOOD AVE, FARMVILLE, VA 23901-1524
(434) 392-6101
(434) 392-1003
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002997
VA
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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