Individual
DR. DAVID W EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N CAROLINE ST, JHOC 6215, BALTIMORE, MD 21287-0006
(410) 955-1080
Mailing address
601 N CAROLINE ST, JHOC 6215, BALTIMORE, MD 21287-0006
(410) 955-1080
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D36497
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G862180
—
CA
Enumeration date
04/18/2006
Last updated
12/02/2016
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