Individual
DR. MARK H EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 CHERRY AVE, BREMERTON, WA 98310-4229
(360) 377-3911
Mailing address
PO BOX 3466, SILVERDALE, WA 98383-3466
(360) 377-2349
(360) 377-2263
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00039775
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8279226
—
WA
Enumeration date
07/12/2006
Last updated
03/30/2021
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