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Individual
DR. ERIC ANDREW EISEN
Active
Individual
DR. ERIC ANDREW EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD61047604
WA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD61047604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160928
—
WA
01
—
427413
WA L&I
WA
Enumeration date
05/03/2015
Last updated
08/17/2023
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