Organization
MICHELLE EISENHOWER M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE R HILL (OFFICE MANAGER)
(610) 783-5158
Entity
Organization
Contact information
Practice address
MICHELLE EISENHOWER M.D., 2301 S. BROAD ST., M.O.B. SUITE 201, PHILADELPHIA, PA 19148
(215) 952-9515
(215) 952-1431
Mailing address
MICHELLE EISENHOWER M.D., 500 WILLIAM EBBS LA., WEST CHESTER, PA 19380
(215) 952-9515
(215) 952-1431
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
MD421472
PA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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