| Doctor Name: | DR. MICHAEL JOSEPH EISENMAN |
| NPI Number: | 1306833769 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 36-00-2916 |
| Business Practice Address: | 4102 Pinion Dr Usaf Academy, CO - 808402502 |
| Business Phone Number: | 7193335081 |
| Business Fax Number: | |
| Mailing Address: | 4102 Pinion Dr, USAF ACADEMY |
| State: | CO |
| Postal Code: | 808402502 |
| Phone Number: | 7193335081 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2005 |
| NPI Last Update Date: | 08/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 36-00-2916 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |