Individual
JUSTIN EISBERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
Mailing address
2097 ABBEY RD APT 201, ONALASKA, WI 54650-6600
(608) 224-9999
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
176193-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
176193
WI
Other
Enumeration date
02/19/2024
Last updated
08/12/2024
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