Individual
ANNE GIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
350 PONCA PL, SUITE 250, BOULDER, CO 80303-3828
(303) 938-1110
(303) 938-1145
Mailing address
350 PONCA PL, SUITE 250, BOULDER, CO 80303-3828
(303) 938-1110
(303) 938-1145
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
40821
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22909532
—
CO
Enumeration date
08/24/2006
Last updated
04/12/2012
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