Individual
DR. CARL F EIBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 WEST BARAGA AVENUE SUITE #30, MARQUETTE, MI 49855
(906) 225-3914
(906) 225-4583
Mailing address
850 WEST BARAGA AVENUE SUITE #30, MARQUETTE, MI 49855
(906) 225-3914
(906) 225-4583
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
044014
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250E26047
BLUE CROSS BLUE SHIELD MI
MI
05
—
2900018
—
MI
Enumeration date
10/03/2005
Last updated
07/31/2019
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