Provider Demographics
NPI:1942202593
Name:GEISLER, CHRISTOPHER J (MPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:GEISLER
Suffix:
Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:MMC 292; SUITE MAYO B228
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-626-5388
Mailing Address - Fax:612-626-5580
Practice Address - Street 1:420 DELAWARE ST SE
Practice Address - Street 2:MMC 292; SUITE MAYO B228
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0341
Practice Address - Country:US
Practice Address - Phone:612-626-5388
Practice Address - Fax:612-626-5580
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2013-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN9930363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN769410500Medicaid
Q40177Medicare UPIN
MN970002955Medicare PIN