Individual
STEPHAN EISENSCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-5550
(352) 273-5575
Mailing address
PO BOX 100236, GAINESVILLE, FL 32610-0236
(352) 273-5550
(352) 273-5575
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME72582
FL
2084N0600X
Clinical Neurophysiology Physician
Primary
ME72582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254776700
—
FL
Enumeration date
05/25/2006
Last updated
01/02/2024
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