MEDICARE: JOHN P. GEISLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0201X	Gynecologic Oncology Physician	01044147A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437146081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN P. GEISLER MD

Provider Business Mailing Address
First Line	:	3355 GLENDALE AVE
Second Line	:	THIRD FLOOR
City	:	TOLEDO
State	:	OH
Zip	:	43614-2426
Country	:	US
Telephone Number	:	419-383-7100
Fax Number	:	419-383-2000

Provider Business Practice Location Address
First Line	:	2510 E DUPONT RD STE 236
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-1603
Country	:	US
Telephone Number	:	260-458-3760
Fax Number	:	260-458-3761

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	05/24/2019

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