Provider Demographics
NPI:1093091415
Name:EISELE, RUTH (DVM)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
Last Name:EISELE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3148 DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-4343
Mailing Address - Country:US
Mailing Address - Phone:239-774-3701
Mailing Address - Fax:239-775-9209
Practice Address - Street 1:3148 DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-4343
Practice Address - Country:US
Practice Address - Phone:239-774-3701
Practice Address - Fax:239-775-9209
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9084174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian