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Individual

MR. MARK R GIESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 MILTON AVE, JANESVILLE, WI 53545-0452
(608) 754-4746
Mailing address
2500 MILTON AVE, JANESVILLE, WI 53545-0452
(608) 754-4746

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
IDPH0737
IL
237700000X
Hearing Instrument Specialist
Primary
WI704
WI

Other

Enumeration date
11/04/2008
Last updated
11/04/2008
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