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Individual

DR. SANDRA ADAMS EISELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11140 MONTGOMERY RD, CINCINNATI, OH 45249-2309
(513) 271-3222
(513) 271-3135
Mailing address
11140 MONTGOMERY RD, CINCINNATI, OH 45249-2309
(513) 271-3222
(513) 271-3135

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35050325
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0877618
MEDICAID
OH
01
273088817059
CARESOURCE
OH
01
4230729
AETNA
OH
01
704440
BUCKEYE MEDICARE
OH
01
744311
BUCKEYE MEDICAID
OH
01
768864
ANTHEM
OH
01
H101060
MEDICARE
OH
01
P01241849
RAILROAD
OH
Enumeration date
07/12/2005
Last updated
10/21/2020
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