Individual
REBECCA J EICHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5799
Mailing address
2891 MOMENTUM PL, CHICAGO, IL 60689-5328
(231) 935-6080
(231) 935-6081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704227809
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093999476
—
MI
Enumeration date
12/20/2007
Last updated
05/05/2023
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