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Individual
DR. ANITA W EISENHART
Active
Individual
DR. ANITA W EISENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
209126
NY
207P00000X
Emergency Medicine Physician
Primary
4630
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01862817
—
NY
Enumeration date
04/26/2006
Last updated
03/05/2019
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