MEDICARE: CHRISTOPHER J GEISLER MPAS, PA-C

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	363A00000X	Physician Assistant	9930	MN

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	:	1942202593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER J GEISLER MPAS, PA-C

Provider Business Mailing Address
First Line	:	420 DELAWARE ST SE
Second Line	:	MMC 292; SUITE MAYO B228
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55455-0341
Country	:	US
Telephone Number	:	612-626-5388
Fax Number	:	612-626-5580

Provider Business Practice Location Address
First Line	:	420 DELAWARE ST SE
Second Line	:	MMC 292; SUITE MAYO B228
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55455-0341
Country	:	US
Telephone Number	:	612-626-5388
Fax Number	:	612-626-5580

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	01/15/2013

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