Healthcare Provider Details

I. General information

NPI: 1942282348
Provider Name (Legal Business Name): MICHAEL GIEGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2005
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EDGEWATER DRIVE SUITE 107
NORWOOD MA
02062
US

IV. Provider business mailing address

1 EDGEWATER DRIVE SUITE 107
NORWOOD MA
02062
US

V. Phone/Fax

Practice location:
  • Phone: 781-769-4640
  • Fax: 781-769-3808
Mailing address:
  • Phone: 781-769-4640
  • Fax: 781-769-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number74143
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberG625865
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: