Individual
DR. ALLAN DANIEL EISEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-1831
(802) 747-1826
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-1831
(802) 747-1826
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801716201
—
VT
01
—
18654
BLUE CROSS BLUE SHIELD
VT
Enumeration date
09/20/2006
Last updated
07/09/2007
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