Individual
GARY ANDREW AISENBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR SE #405, ALB, NM 87106
(505) 764-9535
Mailing address
201 CEDAR SE #405, ALB, NM 87106
(505) 764-9535
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
84-132
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02352
—
NM
Enumeration date
03/15/2006
Last updated
07/16/2012
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