# MICHELLE EISENHOWER M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104026350
- **Authorized official:** MR. DAVE R HILL (OFFICE MANAGER)
- **Authorized official phone:** (610) 783-5158

## Contact information

- **Practice address:** MICHELLE EISENHOWER M.D., 2301 S. BROAD ST., M.O.B. SUITE 201, PHILADELPHIA, PA 19148
- **Practice address phone:** (215) 952-9515
- **Practice address fax:** (215) 952-1431
- **Mailing address:** MICHELLE EISENHOWER M.D., 500 WILLIAM EBBS LA., WEST CHESTER, PA 19380
- **Mailing address phone:** (215) 952-9515
- **Mailing address fax:** (215) 952-1431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | MD421472 | PA | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 07/24/2007