Otto Albert Geiseman IV D.C

NPI 1033546197 - Chiropractor - 111N00000X

NPI Details
NPI 1033546197
Gender Male
Enumeration Date 10/03/2013
Last Updated 05/20/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
595 FOREST AVE
STE 7B
PLYMOUTH MI, 48170-1777, US
Phone (734) 335-3635
Fax (734) 468-0167
Business Location
595 FOREST AVE
STE 7B
PLYMOUTH MI, 48170-1777, US
Phone (734) 335-3635
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Oregon
License Number 5504
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According to our database, Dr. Otto Albert Geiseman IV D.C NPI is 1033546197, taxonomy code is 111N00000X and license number is 5504, license state is located at Oregon. Otto Albert Geiseman IV D.C physically located at 595 Forest Ave, Plymouth MI, 48170-1777. NPI Number Otto Albert Geiseman IV D.C has the Individual type.

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1033546197 NPI number is provided on an as is basis without warranty of any kind. 1033546197 is maintained by the National Plan & Provider Enumeration System. The contents of Otto Albert Geiseman IV D.C are for informational purposes only.