Individual
ALEJANDRO A EISMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 SOUTH DRIVE, WINNEBAGO MENTAL HEALTH INSTITUTE, WINNEBAGO, WI 54985-0009
(920) 235-4910
(920) 236-2931
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43119
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34115400
—
WI
Enumeration date
10/07/2005
Last updated
03/04/2008
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