Giesecke, Mark Ernst

Giesecke, Mark Ernst is an individual health care provider with primary practice located at 463 South Lake Powell Blvd , Page AZ 86040-0790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Giesecke, Mark Ernst can be contacted via phone (928) 645-5113.

Contact Information

Primary practice address
463 South Lake Powell Blvd Page AZ 86040-0790
Phone: (928) 645-5113
Fax: (928) 645-3254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 19591 Arizona

Profile Details

NPI number 1407847601
LBN Legal business name Giesecke, Mark Ernst
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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