Individual
DR. ROGER WILLIAM GEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ILLINI DR, DEPARTMENT OF PATHOLOGY, PEORIA, IL 61605-2576
(309) 671-8440
(309) 671-8434
Mailing address
1 ILLINI DR, DEPARTMENT OF PATHOLOGY, PEORIA, IL 61605-2576
(309) 671-8440
(309) 671-8434
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.054573
IL
Other
Enumeration date
10/27/2012
Last updated
10/27/2012
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