Individual
DR. WILLIAM PETER GEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 CROSSROADS DR, SUITE 360, OWINGS MILLS, MD 21117-5441
(410) 356-0410
(410) 356-5237
Mailing address
5401 OLD COURT RD, ATTN: CREDENTIALING, RANDALLSTOWN, MD 21133-5103
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0045452
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215221500
—
MD
01
—
CC3484
R/R MEDICARE GROUP #
MD
01
—
P00752374
R/R MEDICARE INDIVIDUAL #
MD
Enumeration date
03/23/2006
Last updated
11/05/2009
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