Individual
MELISSA MARIE EISENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
602 MICHIGAN AVE STE 102, HOLLAND, MI 49423-4918
(616) 494-8724
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009405
MI
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/18/2026
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