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Individual

DR. ADAM DUANE EISEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
2004 E RIVERSIDE BLVD LOWR LEVEL, LOVES PARK, IL 61111-4856
(608) 214-8706
Mailing address
3280 S OLD 11, ORFORDVILLE, WI 53576-9610
(608) 214-8706

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005279
IA
225100000X
Physical Therapist
Primary
070023502
IL
225100000X
Physical Therapist
12479-24
WI

Other

Enumeration date
08/28/2013
Last updated
11/09/2022
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