Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301051391 | MI |
N | 208600000X | Surgeon | 4301051391 | MI |
N | 2086S0102X | Surgical Critical Care | 4301051391 | MI |
Y | 2086S0120X | Pediatric Surgery | 4301051391 | MI |
NPI | 1366544694 |
---|---|
Provider Name | James D Geiger |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 19/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3157138 | (05) | MI |
F04745 | (02) | MI |