Individual
ERIC NEWMAN NEISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28315 HARPER AVENUE, ST CLAIR SHORES, MI 48081
(586) 552-1710
(586) 552-1715
Mailing address
28315 HARPER AVENUE, ST CLAIR SHORES, MI 48081
(586) 552-1710
(586) 552-1715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301059606
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4422536
—
MI
Enumeration date
08/04/2006
Last updated
07/08/2007
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