Individual
SHAUN MICHAEL EISENGRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3537 W FRONT ST STE E, TRAVERSE CITY, MI 49684-7943
(231) 935-5880
(231) 935-3464
Mailing address
3537 W FRONT ST, TRAVERSE CITY, MI 49684-7941
(231) 395-5880
(231) 935-3464
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601007080
MI
Other
Enumeration date
05/18/2011
Last updated
08/21/2025
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