Individual
DAVID EDWARD EISENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 MERCY WAY STE 430, JOPLIN, MO 64804-4524
(417) 556-8757
(417) 556-8758
Mailing address
100 MERCY WAY STE 430, JOPLIN, MO 64804-4524
(417) 556-8757
(417) 556-8758
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2017043630
MO
207X00000X
Orthopaedic Surgery Physician
20A11979
CA
207X00000X
Orthopaedic Surgery Physician
4402
OK
207X00000X
Orthopaedic Surgery Physician
76704
WI
207X00000X
Orthopaedic Surgery Physician
DO1632
NV
207X00000X
Orthopaedic Surgery Physician
OS11124
FL
207XS0106X
Orthopaedic Hand Surgery Physician
2017043630
MO
207XS0106X
Orthopaedic Hand Surgery Physician
20A11979
CA
207XS0106X
Orthopaedic Hand Surgery Physician
DO1632
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003190200
—
FL
01
—
14A69
BC/BS
FL
01
—
9308573
AETNA
FL
01
—
9410607
CIGNA
FL
Enumeration date
06/10/2007
Last updated
02/23/2023
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