Individual
ROBERT MARTIN EISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
806 ESTATE PL, MEMPHIS, TN 38120-0600
(901) 767-3620
(901) 683-0285
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19731
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04300772
—
MS
05
—
206449001
—
AR
01
—
6013571
BCBS
TN
05
—
Q005992
—
TN
Enumeration date
11/17/2006
Last updated
10/14/2024
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