Individual
STEPHANIE MICHELLE EISWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 RESEARCH BLVD, 350, ROCKVILLE, MD 20850-3164
(301) 838-9606
Mailing address
3001 JACKSON RIDGE CT, PHOENIX, MD 21131-1459
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D60317
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403074500
—
MD
01
—
601285800
FECA
—
Enumeration date
05/22/2006
Last updated
03/12/2009
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