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Individual

MATTHEW DAVISON EISENSTAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5689
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55927
KY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
55927
KY

Other

Enumeration date
03/28/2016
Last updated
08/19/2022
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