Organization · NPI-2

Evan H. Geissler, D.O., Ltd.

Family Medicine · Hammond, IN

NPI number1477659449
StatusActive
Last updated in NPPESAug 13, 2007

Details

NPI
1477659449
Entity type
Organization (NPI-2)
Legal business name
Evan H. Geissler, D.O., Ltd.
Organization subpart
No
Enumeration date
Sep 16, 2006
Last updated
Aug 13, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine02000568AINYes

Practice location

7134 Calumet Ave
Hammond, IN 46324-2406

Phone 219-931-4725 · Fax 219-932-4028

Mailing address

7134 Calumet Ave
Hammond, IN 46324-2406

Phone 219-931-4725 · Fax 219-932-4028

Authorized official

Evan H. Geissler
President
2199314725

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