Individual
MARY J EICHELBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
9301 N 76TH ST, MILWAUKEE, WI 53223-1003
(414) 357-5233
(414) 357-5406
Mailing address
9301 N 76TH ST, MILWAUKEE, WI 53223-1003
(414) 357-5233
(414) 357-5406
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
88611-030
WI
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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