Individual
DR. DAVID JEFFREY EISENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 MEMORIAL DR, DEPT PATHOLOGY, BELLEVILLE, IL 62226-5360
(618) 233-7750
(314) 747-1710
Mailing address
660 S EUCLID AVE, CB 8118, SAINT LOUIS, MO 63110-1010
(314) 362-5641
(314) 362-0369
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
036136527
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036136527
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200016959
—
MO
Enumeration date
08/19/2005
Last updated
03/18/2025
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