Individual
DR. ANDREA ELIZABETH EISENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 332-1551
Mailing address
1401 JERSEY RIDGE RD, SALEM, OH 44460-9446
(330) 383-9197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-015043
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2018
Last updated
06/10/2022
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