Individual
ANDREW DAVID GIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2545 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 957-7050
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A109261
CA
208800000X
Urology Physician
AC5611000-5984
TN
Other
Enumeration date
04/12/2007
Last updated
01/25/2022
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