Individual
CHELSEY MICHELLE EISENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 AUTO CLUB DR STE 300, DEARBORN, MI 48126-2619
(313) 724-9000
(313) 908-9318
Mailing address
5250 AUTO CLUB DR STE 300, DEARBORN, MI 48126-2619
(313) 724-9000
(313) 908-9318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704309584
MI
363LF0000X
Family Nurse Practitioner
Primary
4704309584
MI
Other
Enumeration date
02/27/2020
Last updated
02/03/2021
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