# STEFAN EICHENAUER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598021479
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 04-39027 | KS | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2016023767 | MO | Yes |

## Other

- **Enumeration date:** 04/05/2012
- **Last updated:** 11/08/2017