Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 10888 | SD |
N | 207X00000X | Orthopaedic Surgeon | 4301100390 | MI |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 45516 | IA |
NPI | 1366702326 |
---|---|
Provider Name | Jonathon Ross Geisinger |
First Address | Ames, IA 50010-5469 |
Second Address | Ames, IA 50010-5469 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2012 |
Last Update Date | 01/06/2021 |