Individual
JEFFREY MICHAEL EICHENLAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN. APRN, FNP-C
Contact information
Practice address
22250 PROVIDENCE DR STE 500, SOUTHFIELD, MI 48075-6213
(248) 849-3441
(248) 849-5389
Mailing address
630 HARTLAND DR, TROY, MI 48083-5183
(248) 835-9019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704252514
MI
Other
Enumeration date
07/01/2022
Last updated
07/02/2024
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