Individual
AMANDA M EISENMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14650 EAST OLD US HIGHWAY 12, SUITE 306, CHELSEA, MI 48118
(734) 475-5003
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 936-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007327
MI
Other
Enumeration date
06/01/2015
Last updated
05/11/2018
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