Individual
DR. PAUL H EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9485 MENTOR AVE, STE 200, MENTOR, OH 44060-8723
(440) 205-5878
(440) 375-8830
Mailing address
9485 MENTOR AVE, STE 200, MENTOR, OH 44060-8723
(440) 205-5878
(440) 375-8830
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
001670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245363
—
OH
01
—
480014163
RAILROAD MEDICARE BEREA
OH
01
—
480031301
RAILROAD MEDICARE LAKEWOO
OH
Enumeration date
06/16/2005
Last updated
09/04/2015
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