| Michelle Eisenhower M.d. | |
|
Michelle Eisenhower M.d. 2301 S. Broad St., M.o.b. Suite 201 Philadelphia PA 19148 | |
| (215) 952-9515 | |
| (215) 952-1431 |
| Full Name | Michelle Eisenhower M.d. |
|---|---|
| Speciality | Family Medicine - Adolescent Medicine |
| Location | Michelle Eisenhower M.d., Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dave R Hill (OFFICE MANAGER) |
| Authorized Official Contact | 6107835158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Eisenhower M.d. Michelle Eisenhower M.d. 500 William Ebbs La. West Chester PA 19380 Ph: (215) 952-9515 | Michelle Eisenhower M.d. Michelle Eisenhower M.d. 2301 S. Broad St., M.o.b. Suite 201 Philadelphia PA 19148 Ph: (215) 952-9515 |
| NPI Number | 1104026350 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104026350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | MD421472 (Pennsylvania) | Primary |
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