Individual
DR. JAMES MARTIN EISENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
741 N GRAND AVE, WAUKESHA, WI 53186-4820
(262) 542-3255
Mailing address
W383N6639 DEER CREEK CT, OCONOMOWOC, WI 53066-6304
(262) 567-0290
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2064-057
WI
Other
Enumeration date
08/06/2006
Last updated
07/08/2007
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