Individual
SUSAN EICHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33505 SCHOOLCRAFT RD, LIVONIA, MI 48150-1630
(734) 721-0200
Mailing address
33505 SCHOOLCRAFT RD, LIVONIA, MI 48150-1630
(734) 721-0200
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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