MARK ERNST GIESECKE

PAGE, AZ
NPI1407847601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AZ  19591)
Enumeration Date2005-11-04
Last Update Date2007-07-08
Business Address
-- MARK ERNST GIESECKE MD
463 SOUTH LAKE POWELL BLVD
PAGE, AZ 86040-0790
Phone number: 928-645-5113
Mailing Address
-- MARK ERNST GIESECKE MD
420 W HAVASUPAI RD
FLAGSTAFF, AZ 86001-1510
Phone number: 928-779-5419
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