Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4301066593 | MI |
Y | 111NI0900X | Internist | 4301066593 | MI |
NPI | 1003806241 |
---|---|
Provider Name | Dr. Mara L Geiger |
First Address | Rochester Hills, MI 48307-6122 |
Second Address | Rochester Hills, MI 48307-6122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3488220 | (05) | MI |
C6559 | MCARE (01) | MI |
G77626 | (02) |