Healthcare Provider Details
I. General information
NPI: 1346908407
Provider Name (Legal Business Name): SUSAN GIESKE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/06/2021
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1830 N FRANKLIN ST STE 220
DENVER CO
80218-1128
US
IV. Provider business mailing address
382 S ARTHUR AVE
LOUISVILLE CO
80027-3094
US
V. Phone/Fax
- Phone: 303-604-5000
- Fax:
- Phone: 303-604-5000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | PA.0007131 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: