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Individual

DR. ANDREA J EISENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
28555 ORCHARD LAKE RD, STE 120, FARMINGTON HILLS, MI 48334-2973
(248) 489-1070
(248) 489-0850
Mailing address
28555 ORCHARD LAKE RD, STE 120, FARMINGTON HILLS, MI 48334
(248) 489-1070
(248) 489-0850

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301054433
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4133355
MI
Enumeration date
12/02/2005
Last updated
02/09/2012
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