Eiseman, Marc

Eiseman, Marc is an individual health care provider with primary practice located at 945 N 12Th St , Milwaukee WI 53233-1305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Eiseman, Marc can be contacted via phone (414) 219-2000.

Contact Information

Primary practice address
945 N 12Th St Milwaukee WI 53233-1305
Phone: (414) 219-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 41571 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41571 Wisconsin

Profile Details

NPI number 1124091855
LBN Legal business name Eiseman, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Dec 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124091855 NPPES
Wisconsin Other 88567290007 BC/BS
Wisconsin MEDICAID 32588800 BC/BS

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