Individual
BERNARD HENRY EISENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 391-3777
(616) 391-3755
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301067263
MI
207P00000X
Emergency Medicine Physician
4301067263
MI
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
4301067263
MI
207R00000X
Internal Medicine Physician
4301067263
MI
208M00000X
Hospitalist Physician
4301067263
MI
Other
Enumeration date
02/15/2006
Last updated
01/13/2025
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