Blake Geschke

NPI #1710422696 in Ionia, Michigan

Provider Information

NPI Number: 1710422696
Entity Type: Individual
Name: Blake Geschke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 30, 2016
Last Updated: Feb 20, 2017

Practice Location

Address: 2776 S STATE RD
City: Ionia
State: Michigan
ZIP Code: 48846-8472
Phone: (616) 775-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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