Individual
MATTHEW EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1560 E SHERMAN BLVD STE 9, MUSKEGON, MI 49444-1867
(231) 672-8643
(231) 672-8651
Mailing address
512 S CEDAR BLUFF RD, KNOXVILLE, TN 37922-3697
(863) 409-1724
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
52281
CA
Other
Enumeration date
02/06/2015
Last updated
04/17/2018
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