Individual
DR. JONATHAN MICHAEL EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5246 BRITTANY DR, BATON ROUGE, LA 70808-9136
(225) 757-4142
(225) 757-4230
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
327883
LA
Other
Enumeration date
03/16/2019
Last updated
12/28/2021
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