Individual
ISAAC J KIRSTEIN
Active
Individual
ISAAC J KIRSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-100642
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010019826
—
VA
01
—
279560
ANTHEM BLUE CROSS
VA
01
—
4673170001
DMERC
IL
Enumeration date
03/29/2006
Last updated
12/28/2011
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