Healthcare Provider Details

I. General information

NPI: 1013553312
Provider Name (Legal Business Name): STEPHANIE GEIERMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2019
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3833 N DIXIE HWY
MONROE MI
48162-4489
US

IV. Provider business mailing address

23849 WEST RD
BROWNSTOWN TWP MI
48134-9310
US

V. Phone/Fax

Practice location:
  • Phone: 734-289-6310
  • Fax: 734-289-6312
Mailing address:
  • Phone: 734-561-1210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302043670
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: