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Individual

DR. ANDREW C EISENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5301 E HURON RIVER DR, STE C139, YPSILANTI, MI 48197-1051
(734) 712-1000
(734) 712-3218
Mailing address
5301 E HURON RIVER DR, STE C139, YPSILANTI, MI 48197-1051
(734) 712-1000
(734) 712-3218

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
033957
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1580602
MI
Enumeration date
06/17/2005
Last updated
07/14/2011
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