Timothy Louis Gieseke in Santa Rosa - Internal Medicine

Timothy Louis Gieseke - NPI 1992703706

Timothy Louis Gieseke is a Internal Medicine in Santa Rosa, California. Timothy Louis Gieseke practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Timothy Louis Gieseke is 1992703706. The last update date is 2012-02-07.

Timothy Louis Gieseke's current location address is 3536 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075756049 and fax number 7075462188. The mailing address for Timothy Louis Gieseke is 3536 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Louis Gieseke
Address 3536 Mendocino Ave, Santa Rosa, California
Phone Number 7075756049
Fax Number 7075462188
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1992703706
Provider Enumeration Date 2005-07-14
Last Updated Date 2012-02-07

Provider Mailing Address Detail

Address 3536 Mendocino Ave
City Santa Rosa
State California (CA)
Post Code 954033634
Phone Number 7075756049
Fax Number 7075462188

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No G34398
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G343980 CA --
P00602516 CA RAILDROAD MEDICARE
00G343980 CA BLUE SHIELD OF CALIFORNIA

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FAQs about Timothy Louis Gieseke

What is the Timothy Louis Gieseke's 1992703706?

The Timothy Louis Gieseke's NPI (National Provider Identifier) Number is 1992703706. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Timothy Louis Gieseke's facilities are geographically located?

The facilities of Timothy Louis Gieseke are physically situated at the following location: 3536 Mendocino Ave, Santa Rosa, CA, 954033634.

What is Timothy Louis Gieseke's area of expertise and its corresponding taxonomy classification?

The Timothy Louis Gieseke's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Timothy Louis Gieseke receive its 1992703706 assignment from the Centers for Medicare & Medicaid Services?

The Timothy Louis Gieseke was assigned its 1992703706 by the Centers for Medicare & Medicaid Services on 2005-07-14.

As of what date were the details related to Timothy Louis Gieseke most recently updated or revised?

The information pertaining to Timothy Louis Gieseke, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-07.

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