Individual
GEOFFREY GUY EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 E 24TH ST, SUITE 304, MINNEAPOLIS, MN 55404-3846
(612) 871-2292
(952) 460-5274
Mailing address
710 E 24TH ST, SUITE 304, MINNEAPOLIS, MN 55404-3846
(612) 871-2292
(952) 460-5274
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
49508
MN
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD25646
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023134
—
OR
05
—
34783400
—
WI
05
—
750052000
—
MN
Enumeration date
05/16/2006
Last updated
09/21/2020
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