Individual
DR. JOHN PATRICK EICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 417-6130
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
11568
ND
207T00000X
Neurological Surgery Physician
56052
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114106820
—
MN
Enumeration date
10/30/2007
Last updated
08/20/2024
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