Individual
DR. JUSTIN EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1316 MERCY DR, MUSKEGON, MI 49444-1835
(231) 739-9461
Mailing address
1316 MERCY DR, MUSKEGON, MI 49444-1835
(231) 739-9461
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
5101022857
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2009
Last updated
08/05/2016
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