Individual
CHRISTIANE NATASCHA EISELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A84490
CA
207P00000X
Emergency Medicine Physician
MD15391R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06073231
—
MS
05
—
1625329
—
LA
Enumeration date
04/20/2007
Last updated
09/04/2015
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