Healthcare Provider Details

I. General information

NPI: 1477296788
Provider Name (Legal Business Name): GRANT GEIGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 4TH ST FL 1
MARIETTA OH
45750-1727
US

IV. Provider business mailing address

813 4TH ST
MARIETTA OH
45750-1727
US

V. Phone/Fax

Practice location:
  • Phone: 740-421-0307
  • Fax:
Mailing address:
  • Phone: 816-806-7802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number57.261319
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: