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1619368008
MATTHEW EISEN
MUSKEGON, MI
NPI
1619368008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA 52281)
Enumeration Date
2015-02-06
Last Update Date
2018-04-17
Business Address
MATTHEW EISEN PA-C
1560 E SHERMAN BLVD STE 9
MUSKEGON, MI 49444-1867
Phone number: 231-672-8643
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Mailing Address
MATTHEW EISEN PA-C
512 S CEDAR BLUFF RD
KNOXVILLE, TN 37922-3697
Phone number: 863-409-1724
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