Individual
DR. JOHN H EISENACH
Active
Individual
DR. JOHN H EISENACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
42178
MN
207L00000X
Anesthesiology Physician
Primary
53308
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024255
KAISER COMMERCIAL NUMBER
CO
05
—
155140000
—
MN
05
—
35971037
—
CO
Enumeration date
02/15/2006
Last updated
06/21/2021
Update your record
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