Provider Demographics
NPI:1568449114
Name:GEIER, DEBRA A (MD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:A
Last Name:GEIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 5TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-3437
Mailing Address - Country:US
Mailing Address - Phone:701-253-4000
Mailing Address - Fax:701-253-4040
Practice Address - Street 1:904 5TH AVE NE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-3437
Practice Address - Country:US
Practice Address - Phone:701-253-4000
Practice Address - Fax:701-253-4040
Is Sole Proprietor?:No
Enumeration Date:2005-12-26
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND9496207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND13192Medicaid
ND407241042885OtherPREFERREDONE
MN1447292826Medicaid
ND24704OtherBLUE CROSS BLUE SHIELD ND
NDP00175045OtherRAILROAD MEDICARE
NDI12515Medicare UPIN
MN1447292826Medicaid
ND24704OtherBLUE CROSS BLUE SHIELD ND