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Individual

STEPHANIE CAROLINE EISENBARTH

Active
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Individual

STEPHANIE CAROLINE EISENBARTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
036159286
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
046721
CT

Other

Enumeration date
12/31/2007
Last updated
04/05/2022
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