Organization
PAUL H EISENBERG, DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL H EISENBERG DPM (OWNER)
(440) 243-6660
Entity
Organization
Contact information
Practice address
14900 DETROIT AVE, LAKEWOOD, OH 44107-3923
(216) 221-5700
(440) 243-7065
Mailing address
429 FRONT ST, BEREA, OH 44017-1716
(440) 243-6660
(440) 243-7065
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
001670
OH
Other
Enumeration date
08/18/2008
Last updated
07/02/2009
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