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Individual

RICHARD J EISENHUT

Active
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Individual

RICHARD J EISENHUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01032777A
IN
207R00000X
Internal Medicine Physician
Primary
01032777A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01032777A
INDIANA LICENSE
IN
01
01032777B
CSR
IN
05
100331200
IN
Enumeration date
07/17/2006
Last updated
07/29/2025
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