Individual
DR. ELI BENCHELL EISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, PHD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 874-5378
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 874-5378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101027944
MI
207Q00000X
Family Medicine Physician
5151015026
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/13/2021
Last updated
07/12/2024
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