Organization · Type 2 NPI

Michelle Eisenhower M.d.

Adolescent Medicine (Family Medicine) Physician · Philadelphia, PA

NPI number 1104026350 Active

Practice location

Michelle Eisenhower M.d., 2301 S. Broad St., M.o.b. Suite 201
Philadelphia, PA 19148

Fax (215) 952-1431

Mailing address

Michelle Eisenhower M.d., 500 William Ebbs La.
West Chester, PA 19380

Specialties and licenses

TaxonomyCodeLicense
Adolescent Medicine (Family Medicine) Physician Primary 207QA0000XMD421472 (PA)

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

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About NPI 1104026350

Michelle Eisenhower M.d.'s National Provider Identifier is 1104026350, issued on Jul 24, 2007. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 24, 2007.