Stan A Eisele, MD Valid NPI

Individual provider · Internal Medicine Physician · Eagle, ID

NPI

1306886767

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

M8628 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-07

Last updated

2019-04-11