Individual
DR. KIRK JOHN GIESBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 298-0301
Mailing address
PO BOX 4934, ALBUQUERQUE, NM 87196-4934
(505) 298-0301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD2015-0066
NM
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD2015-0066
NM
2085R0204X
Vascular & Interventional Radiology Physician
ME107696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87577780
—
NM
Enumeration date
04/17/2009
Last updated
06/06/2016
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