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Individual
DR. JONATHAN LEE EICHELSDOERFER
Active
Individual
DR. JONATHAN LEE EICHELSDOERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4351046904
MI
207Q00000X
Family Medicine Physician
Primary
81936
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244153
—
WI
Enumeration date
06/18/2020
Last updated
07/17/2026
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