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1154079721
GRANT SCOTT GEISLER
BROOKFIELD, WI
NPI
1154079721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5894-23)
Enumeration Date
2022-03-14
Last Update Date
2022-07-27
Business Address
GRANT SCOTT GEISLER
16650 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005-5959
Phone number: 262-827-9200
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Mailing Address
GRANT SCOTT GEISLER
16650 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005-5959
Phone number: 262-827-9200
Copy
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