Individual
DR. MARC EISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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