Individual
MR. RICHARD ALLEN EISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9305 W SHERIDAN AVE, MILWAUKEE, WI 53225-3340
(414) 241-1863
Mailing address
9305 W SHERIDAN AVE, MILWAUKEE, WI 53225-3340
(414) 241-1863
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301677-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38343200
—
WI
Enumeration date
05/16/2008
Last updated
05/16/2008
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