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Individual

DR. MARC EISEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
3301 W FOREST HOME AVE STE 300, MILWAUKEE, WI 53215-2843
(414) 389-2233

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
41571
WI
207Q00000X
Family Medicine Physician
41571
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32588800
WI
01
88567290007
BC/BS
WI
Enumeration date
02/13/2006
Last updated
12/02/2021
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