Individual
DEBORAH LYNN EISENMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2591 S LEATON RD, MT PLEASANT, MI 48858
(989) 775-4603
(989) 775-4680
Mailing address
2591 S LEATON RD, MT PLEASANT, MI 48858
(989) 775-4603
(989) 775-4680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DE055682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0370609
BCBS PPO PIN
—
05
—
2854523
—
MI
01
—
G05822
BCN GROUP
—
Enumeration date
10/10/2006
Last updated
11/29/2023
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